Russell Nichols, DDS

NPI 1962423434 · on the registry since 2006 · sole proprietor

Practice

Address: 501 S White St
Ste. #25
Mount Pleasant, IA 52641
Phone: (319) 385-6770
Organisation at this address: Quest Diagnostics Llc Il
Heritage Park Pharmacy Inc
Reed M. Bouchey, M.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Iowa