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Russell Davis
NPI 1982148581 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1887 Aaron Dr Ste B
Tooele, UT 84074 - Phone
- (435) 775-9969
- Organisation at this address
- Tooele Clinic Corp
Blue Rock Family Dental, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-20
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 Utah