Russell G. Forsberg in Phoenix - Physician Assistant

Russell G. Forsberg - NPI 1407039910

Russell G. Forsberg is a Physician Assistant in Phoenix, Arizona. Russell G. Forsberg practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Russell G. Forsberg is 1407039910. The last update date is 2008-03-17.

Russell G. Forsberg's current location address is 9305 W Thomas Rd, Phoenix, Arizona. You can contact this provider via phone number 6233274144. The mailing address for Russell G. Forsberg is 9305 W Thomas Rd, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell G. Forsberg
Address 9305 W Thomas Rd, Phoenix, Arizona
Phone Number 6233274144
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1407039910
Provider Enumeration Date 2007-12-07
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address 9305 W Thomas Rd
City Phoenix
State Arizona (AZ)
Post Code 850373328
Phone Number 6233274144
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 3769
Definition:
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 perfor

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FAQs about Russell G. Forsberg

What is the Russell G. Forsberg's unique identification number?

The Russell G. Forsberg has been assigned the NPI (National Provider Identifier) Number 1407039910 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Russell G. Forsberg located?

The Russell G. Forsberg is located at 9305 W Thomas Rd, Phoenix, AZ 850373328.

What is the Russell G. Forsberg's specialty and taxonomy code?

The Russell G. Forsberg's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did Russell G. Forsberg receive its 1407039910 assignment from the Centers for Medicare & Medicaid Services?

The Russell G. Forsberg was assigned its 1407039910 on 2007-12-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Russell G. Forsberg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Russell G. Forsberg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-17.

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