Individual provider · Type 1 NPI
Edgar Russell, DO
Adult Medicine Physician · Riverside, CA
NPI number
1790707156
Active
Practice location
6276 River Crest Dr
Riverside, CA 92507-0754
Fax (951) 653-5161
Mailing address
1413 Calle De Oro
San Dimas, CA 91773-4015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 20A6100 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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- Rivercrest Physical Therapy, Inc.Physical Therapy Clinic/Center Riverside, CA NPI 1871810762
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- Anthony CramerSurgical Physician Assistant Riverside, CA NPI 1851755128
- Babak Razaghi Khamsi, MDOrthopaedic Surgery of the Spine Physician Riverside, CA NPI 1457557100
- Chad Sweetnam, PA-CMedical Physician Assistant Riverside, CA NPI 1740213594
- Daniel C. Lopez, PA-CMedical Physician Assistant Riverside, CA NPI 1730113101
Other adult medicine physician providers in Riverside
About NPI 1790707156
Edgar Russell, DO's National Provider Identifier is 1790707156, issued on Jul 24, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Riverside, CA. The record was last updated on Jul 9, 2007.