Individual provider · Type 1 NPI

Jeffrey Brian Russ, PhD

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1821450602 Active

Practice location

550 16th St Fl 4, 4551, Box 0110
San Francisco, CA 94143-2549

Call (303) 912-7799 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821450602

Jeffrey Brian Russ, PhD's National Provider Identifier is 1821450602, issued on Mar 22, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Apr 16, 2016.