John Calvin Russell, PA
NPI #1275584070 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1275584070
- Entity Type
- Individual
- Name
- John Calvin Russell, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- May 15, 2006
- Last Updated
- Apr 25, 2017
Practice Location
- Address
- 2201 N BROADWELL AVE
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-2153
- Phone
- (308) 382-3660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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