Daric J Russell, DO
NPI #1154681633 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1154681633
- Entity Type
- Individual
- Name
- Daric J Russell, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Anesthesiology - Pain Medicine
- Credential
- DO
- Enumeration Date
- May 18, 2012
- Last Updated
- Jan 6, 2020
Practice Location
- Address
- 3385 POTOMAC WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-4978
- Phone
- (208) 522-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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