Search › Arizona › 174400000X
John Russell, NCSP
NPI 1619066156 · on the registry since 2006
Practice
- Address
- 8188 W Bartlett Rd
Casa Grande, AZ 85222 - Phone
- (520) 431-4314
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-26
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