Richard Lee Russell in Antioch - Psychiatry

Richard Lee Russell - NPI 1043399181

Richard Lee Russell is a Psychiatry in Antioch, California. Richard Lee Russell practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Richard Lee Russell is 1043399181. The last update date is 2007-07-08.

Richard Lee Russell's current location address is 3400 Delta Fair Blvd, Antioch, California. You can contact this provider via phone number 9257795000. The mailing address for Richard Lee Russell is 3400 Delta Fair Blvd, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Lee Russell
Address 3400 Delta Fair Blvd, Antioch, California
Phone Number 9257795000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043399181
Provider Enumeration Date 2006-11-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3400 Delta Fair Blvd
City Antioch
State California (CA)
Post Code 945094004
Phone Number 9257795000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No A18135
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A181350 CA --

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FAQs about Richard Lee Russell

What is the unique 10-digit identifier code assigned to Richard Lee Russell by the Centers for Medicare & Medicaid Services?

The Richard Lee Russell has been issued the NPI (National Provider Identifier) 1043399181 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Richard Lee Russell is physically located?

The Richard Lee Russell is situated at the following address: 3400 Delta Fair Blvd, Antioch, CA 945094004.

What is the area of specialization for Richard Lee Russell, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Richard Lee Russell is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1043399181 to Richard Lee Russell?

The Richard Lee Russell received its 1043399181 assignment from the Centers for Medicare & Medicaid Services on 2006-11-02.

When was the information pertaining to Richard Lee Russell most recently updated or revised?

The details related to Richard Lee Russell, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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