Byron Dale Russell MD

NPI 1043215809 - Urology - 208800000X

NPI Details
NPI 1043215809
Gender Male
Enumeration Date 06/17/2005
Last Updated 03/12/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
7301 E 2ND ST
STE 308
SCOTTSDALE AZ, 85251-5627, US
Phone (480) 949-1212
Fax (480) 994-5633
Business Location
7301 E 2ND ST
STE 308
SCOTTSDALE AZ, 85251-5627, US
Phone (480) 994-5633
Fax (480) 994-5633
Toxanomy
Taxonomy Code 208800000X
License State Arizona
License Number 25459
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According to our database, Byron Dale Russell MD NPI is 1043215809, taxonomy code is 208800000X and license number is 25459, license state is located at Arizona. Byron Dale Russell MD physically located at 7301 E 2nd St, Scottsdale AZ, 85251-5627. NPI Number Byron Dale Russell MD has the Individual type.

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1043215809 NPI number is provided on an as is basis without warranty of any kind. 1043215809 is maintained by the National Plan & Provider Enumeration System. The contents of Byron Dale Russell MD are for informational purposes only.