DR. David Ray Russell, O.D.

NPI #1992898894 in Evanston, Wyoming

Provider Information

NPI Number: 1992898894
Entity Type: Individual
Name: DR. David Ray Russell, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 2, 2006
Last Updated: Aug 2, 2018

Practice Location

Address: 720 6TH ST
City: Evanston
State: Wyoming
ZIP Code: 82930
Phone: (307) 789-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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