MRS. Dawn Marie Russell, PA

NPI #1508906116 in Wright Patterson Afb, Ohio

Provider Information

NPI Number
1508906116
Entity Type
Individual
Name
MRS. Dawn Marie Russell, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Feb 6, 2007
Last Updated
Mar 18, 2020

Practice Location

Address
4881 SUGAR MAPLE DR
Address 2
88TH MEDICAL GROUP
State
Ohio
ZIP Code
45433-5250
Phone
(937) 257-1941

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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