Jonathan Russ M.D.

NPI 1003960592 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1003960592
Gender Male
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4966 EL CAMINO REAL
SUITE 115
LOS ALTOS CA, 94022-1436, US
Phone (650) 961-1102
Fax (650) 887-2277
Business Location
4966 EL CAMINO REAL
SUITE 115
LOS ALTOS CA, 94022-1436, US
Phone (650) 961-1102
Fax (650) 887-2277
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number G11925
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According to our database, Dr. Jonathan Russ M.D. NPI is 1003960592, taxonomy code is 2084P0800X and license number is G11925, license state is located at California. Jonathan Russ M.D. physically located at 4966 El Camino Real, Los Altos CA, 94022-1436. NPI Number Jonathan Russ M.D. has the Individual type.

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1003960592 NPI number is provided on an as is basis without warranty of any kind. 1003960592 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Russ M.D. are for informational purposes only.