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Milton Russon
NPI 1023024171 · on the registry since 2006
Practice
- Address
- 470 E Medical Dr
Bountiful, UT 84010 - Phone
- (801) 298-3446
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah