Russel Nichols, Md, PC

NPI #1609874247 in John Day, Oregon

Provider Information

NPI Number: 1609874247
Entity Type: Organization
Organization Name: Russel Nichols, Md, PC
Primary Specialty: Family Medicine
Enumeration Date: Jul 8, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 135 FORD RD
City: John Day
State: Oregon
ZIP Code: 97845-2010
Phone: (541) 575-2669

Authorized Official

Name: RUSSEL JAMES NICHOLS, MD
Title: OWNER
Phone: (541) 575-2669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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