MR. Jacob Troy Russell, CRNA

NPI #1972056588 in Payson, Arizona

Provider Information

NPI Number
1972056588
Entity Type
Individual
Name
MR. Jacob Troy Russell, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jul 31, 2016
Last Updated
Jul 31, 2016

Practice Location

Address
807 S PONDEROSA ST
City
Payson
State
Arizona
ZIP Code
85541-5542
Phone
(928) 472-1273

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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