DR. Gary D. Russell, M.D.

NPI #1891751848 in Nicholson, Pennsylvania

Provider Information

NPI Number: 1891751848
Entity Type: Individual
Name: DR. Gary D. Russell, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 26, 2006
Last Updated: Jul 14, 2020

Practice Location

Address: RT 11
Address 2: LACKAWANNA TRAIL
City: Nicholson
State: Pennsylvania
ZIP Code: 18446
Phone: (570) 942-6124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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