Individual provider · Type 1 NPI

Garrett Michael Russell, PA-C

Physician Assistant · Coudersport, PA

NPI number 1831754308 Active

Practice location

1001 E 2nd St
Coudersport, PA 16915-8161

Call (814) 274-7474 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA060807 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1831754308

Garrett Michael Russell, PA-C's National Provider Identifier is 1831754308, issued on May 9, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Coudersport, PA. The record was last updated on Sep 21, 2026.