Bryan Clint Russell
NPI #1407320260 in Coronado, California
Provider Information
- NPI Number
- 1407320260
- Entity Type
- Individual
- Name
- Bryan Clint Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Jan 15, 2019
- Last Updated
- Jan 15, 2019
Practice Location
- Address
- 160 C AVE
- City
- Coronado
- State
- California
- ZIP Code
- 92118-1420
- Phone
- (619) 319-5992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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