Dylan Russell

NPI #1487298717 in Rogers, Arkansas

Provider Information

NPI Number: 1487298717
Entity Type: Individual
Name: Dylan Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 30, 2019
Last Updated: Oct 30, 2019

Practice Location

Address: 1015 WESTRIDGE LN
City: Rogers
State: Arkansas
ZIP Code: 72756-2034
Phone: (479) 295-2004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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