Individual provider · Type 1 NPI
Suzanne Renee Russell, PA-C
Medical Physician Assistant · Avondale, AZ
NPI number
1376794446
Active
Practice location
13075 W Mcdowell Ste D106, Nextcare Urgent Care
Avondale, AZ 85323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 4220 (AZ) |
Medical Physician Assistant: Definition to come...
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About NPI 1376794446
Suzanne Renee Russell, PA-C's National Provider Identifier is 1376794446, issued on Oct 7, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Avondale, AZ. The record was last updated on Oct 7, 2008.