Russell Nicoll P.A.

NPI 1619922341 - Physician Assistant - 363A00000X

NPI Details
NPI 1619922341
Gender Male
Enumeration Date 05/23/2006
Last Updated 04/16/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
6501 E GREENWAY PKWY
SCOTTSDALE AZ, 85254-2065, US
Phone (480) 948-3314
Fax (480) 948-3588
Business Location
1250 S CLEARVIEW AVE STE 100
MESA AZ, 85209-3378, US
Phone (480) 988-9108
Fax (480) 813-4460
Toxanomy
Taxonomy Code 363A00000X
License State Arizona
License Number 2565
Remove 1619922341 NPI Number
 

According to our database, Russell Nicoll P.A. NPI is 1619922341, taxonomy code is 363A00000X and license number is 2565, license state is located at Arizona. Russell Nicoll P.A. physically located at 6501 E Greenway Pkwy, Scottsdale AZ, 85254-2065. NPI Number Russell Nicoll P.A. has the Individual type.

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1619922341 NPI number is provided on an as is basis without warranty of any kind. 1619922341 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Nicoll P.A. are for informational purposes only.