Organization · Type 2 NPI
R. Denis Russell, D.p.m., Inc.
Customized Equipment (DME) · Fountain Valley, CA
NPI number
1720256407
Active
Practice location
11100 Warner Ave, Suite 306
Fountain Valley, CA 92708-7506
Fax (714) 979-0340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | E1393 (CA) |
Customized Equipment (DME): Definition to come...
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Other customized equipment (dme) providers in Fountain Valley
About NPI 1720256407
R. Denis Russell, D.p.m., Inc.'s National Provider Identifier is 1720256407, issued on Feb 14, 2008. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Fountain Valley, CA. The record was last updated on Feb 14, 2008.