Nathanael Russell

NPI #1912354119 in Arlington, Washington

Provider Information

NPI Number
1912354119
Entity Type
Individual
Name
Nathanael Russell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
May 17, 2016
Last Updated
Nov 28, 2017

Practice Location

Address
3823 172ND ST NE
ZIP Code
98223-7735
Phone
(360) 386-3600

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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