Search › California › 172V00000X
Douglas Russell
NPI 1477113744 · on the registry since 2019
Practice
- Address
- 1282 Market St
San Francisco, CA 94102 - Phone
- (415) 579-3021
- Organisation at this address
- Western Dental Services, Inc.
Richmond Area Multi-Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 101YA0400X
101YA0400X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-03
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 California