Search › New Mexico › 103G00000X
Gerald Russell, PHD
NPI 1326040148 · on the registry since 2005
Practice
- Address
- 713 6th St
Las Vegas, NM 87701 - Phone
- (505) 429-4679
- Fax
- (505) 425-3370
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
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 New Mexico