Individual provider · Type 1 NPI

Mary Jo Russell, PA-C

Physician Assistant · Bettendorf, IA

NPI number 1528046695 Active

Practice location

2300 53rd Ave, Suite 100
Bettendorf, IA 52722-7564

Call (563) 322-0971 Map

Fax (563) 324-0615

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001347 (IA)

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 1528046695

Mary Jo Russell, PA-C's National Provider Identifier is 1528046695, issued on Jan 9, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bettendorf, IA. The record was last updated on Nov 8, 2013.