John Grover Russell in Casa Grande - Specialist
John Grover Russell - NPI 1619066156
John Grover Russell is a Specialist in Casa Grande, Arizona. John Grover Russell practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Grover Russell is 1619066156. The last update date is 2007-07-26.
John Grover Russell's current location address is 8188 W Bartlett Rd, Casa Grande, Arizona. You can contact this provider via phone number 5204314314. The mailing address for John Grover Russell is 8188 W Bartlett Rd, Casa Grande, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Grover Russell |
|---|---|
| Address | 8188 W Bartlett Rd, Casa Grande, Arizona |
| Phone Number | 5204314314 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NCSP |
NPI Number Detail
| NPI Number | 1619066156 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 8188 W Bartlett Rd |
|---|---|
| City | Casa Grande |
| State | Arizona (AZ) |
| Post Code | 852227336 |
| Phone Number | 5204314314 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 584559 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Grover Russell by the Centers for Medicare & Medicaid Services?
The John Grover Russell has been assigned the NPI (National Provider Identifier) 1619066156 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John Grover Russell?
The John Grover Russell is physically situated at 8188 W Bartlett Rd, in the city of Casa Grande, state of AZ, with the postal code 852227336.
What is the area of specialization for John Grover Russell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Grover Russell is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When was the John Grover Russell's 1619066156 issued?
The John Grover Russell's 1619066156 was issued on 2006-10-12.
As of what date were the details related to John Grover Russell most recently updated or revised?
The information pertaining to John Grover Russell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-26.