Individual provider · Type 1 NPI

Justin Lee Russell, PA

Surgical Physician Assistant · Bradenton, FL

NPI number 1710539416 Active

Practice location

11505 Rangeland Pkwy
Bradenton, FL 34211-4041

Fax (941) 362-8602

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

21 other providers at this address

Other surgical physician assistant providers in Bradenton

See all in Bradenton →

About NPI 1710539416

Justin Lee Russell, PA's National Provider Identifier is 1710539416, issued on Jul 12, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bradenton, FL. The record was last updated on May 7, 2020.