Individual provider · Type 1 NPI

R. Denis Russell, D.P.M.

Foot & Ankle Surgery Podiatrist · Fountain Valley, CA

NPI number 1790783439 Active · reactivated Mar 27, 2006

Practice location

11100 Warner Ave, Suite 306
Fountain Valley, CA 92708-7506

Call (714) 979-0313 Map

Fax (714) 979-0340

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE1393 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1790783439

R. Denis Russell, D.P.M.'s National Provider Identifier is 1790783439, issued on Jul 7, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fountain Valley, CA. The record was last updated on Feb 15, 2008.