Individual provider · Type 1 NPI

Gary D. Russell, P.A.-C

Physician Assistant · Phoenix, AZ

NPI number 1437103306 Active

Practice location

2525 E Roosevelt St
Phoenix, AZ 85008-4948

Call (602) 344-5651 Map

Fax (602) 344-5578

Mailing address

PO Box 5177
Phoenix, AZ 85010-5177

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1136 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1437103306

Gary D. Russell, P.A.-C's National Provider Identifier is 1437103306, issued on May 22, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 13, 2026.