DR. Jill M. Russom, MD

NPI #1639140791 in Orosi, California

Provider Information

NPI Number: 1639140791
Entity Type: Individual
Name: DR. Jill M. Russom, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jan 27, 2006
Last Updated: Mar 27, 2012

Practice Location

Address: 12586 AVENUE
City: Orosi
State: California
ZIP Code: 93647-9454
Phone: (559) 528-2804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

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