Edgar Russell is a Adult Medicine in Riverside, California. Edgar Russell practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Edgar Russell is 1790707156. The last update date is 2007-07-09.
Edgar Russell's current location address is 6276 River Crest Dr, Riverside, California. You can contact this provider via phone number 9514130964 and fax number 9516535161. The mailing address for Edgar Russell is 6276 River Crest Dr, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Russell |
|---|---|
| Address | 6276 River Crest Dr, Riverside, California |
| Phone Number | 9514130964 |
| Fax Number | 9516535161 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1790707156 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6276 River Crest Dr |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925070754 |
| Phone Number | 9514130964 |
| Fax Number | 9516535161 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 20A6100 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0086790 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Edgar Russell by the Centers for Medicare & Medicaid Services?
The Edgar Russell has been issued the NPI (National Provider Identifier) 1790707156. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Edgar Russell is located?
The Edgar Russell is situated at the following address: 6276 River Crest Dr, Riverside, CA, 925070754.
What is Edgar Russell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edgar Russell is Adult Medicine, and the taxonomy code that classifies this field of practice is 207Qa0505X.
When was the Edgar Russell's 1790707156 issued?
The Edgar Russell's 1790707156 was issued on 2006-07-24.
When was the information regarding Edgar Russell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edgar Russell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY