Individual provider · Type 1 NPI

Maxwell Taylor Russell, DO

Student in an Organized Health Care Education/Training Program · Downey, CA

NPI number 1255181871 Active

Practice location

11500 Brookshire Ave, Gme Office
Downey, CA 90241-4917

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255181871

Maxwell Taylor Russell, DO's National Provider Identifier is 1255181871, issued on Mar 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Downey, CA. The record was last updated on Mar 26, 2024.