Individual provider · Type 1 NPI

William M. Russell, MD

Diagnostic Radiology Physician · Templeton, CA

NPI number 1104892454 Active

Practice location

1310 Las Tablas Rd, Suite 103
Templeton, CA 93465-9737

Fax (805) 464-0243

Mailing address

PO Box 2920
Atascadero, CA 93423-2920

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XG37912 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104892454

William M. Russell, MD's National Provider Identifier is 1104892454, issued on Feb 27, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Templeton, CA. The record was last updated on Sep 29, 2011.