Search › California › 207Q00000X
Russell Hisscock, DO
NPI 1821103854 · on the registry since 2006
Practice
- Address
- 4791 E Palm Canyon Dr Ste 100
Palm Springs, CA 92264 - Phone
- (760) 834-7930
- Fax
- (760) 834-7931
- Organisation at this address
- Eisenhower Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- AZ, WA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-22
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