Emily Grace Bond Russell, PA-C

NPI #1154971174 in Nampa, Idaho

Provider Information

NPI Number: 1154971174
Entity Type: Individual
Name: Emily Grace Bond Russell, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 12, 2019
Last Updated: Dec 15, 2023

Practice Location

Address: 9850 W ST LUKES DR # 329
City: Nampa
State: Idaho
ZIP Code: 83687-7912
Phone: (208) 514-2509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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