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David Russell, O.D
NPI 1992898894 · on the registry since 2006
Practice
- Address
- 720 6th St
Evanston, WY 82930 - Phone
- (307) 789-1500
- Fax
- (307) 789-0077
- Organisation at this address
- David R Russell Od
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-02
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 Wyoming