Search › Arizona › 207P00000X
Jacob Russell, DO
NPI 1417318361 · on the registry since 2016
Practice
- Address
- 16815 W Bell Rd
Surprise, AZ 85374 - Phone
- (602) 833-6900
- Organisation at this address
- Vhs Of Arrowhead, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 15855 19 Mile Rd, Clinton Township, MI
- 294 Summar Dr, Jackson, TN
- 620 Skyline Dr, Jackson, TN
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207PE0004X
390200000X - Licence states on file
- MI, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-08
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 Arizona