Individual provider · Type 1 NPI

Melissa D. Russell, PA-C

Medical Physician Assistant · Spokane, WA

NPI number 1104139823 Active

Practice location

3919 N Maple St
Spokane, WA 99205-1349

Call (509) 444-7801 Map

Fax (509) 444-7807

Mailing address

203 N Washington St Ste 300
Spokane, WA 99201-0233

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60157507 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1104139823

Melissa D. Russell, PA-C's National Provider Identifier is 1104139823, issued on Jul 22, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Spokane, WA. The record was last updated on Jul 22, 2010.