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Mary Russell, PA-C
NPI 1528046695 · on the registry since 2006
Practice
- Address
- 2300 53rd Ave
Suite 100
Bettendorf, IA 52722 - Phone
- (563) 322-0971
- Fax
- (563) 324-0615
- Organisation at this address
- Genortho, Llc
American Prosthetics & Orthotics, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-11-08
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 Iowa