Dawn Marie Russell in Wright Patterson Afb - Physician Assistant
Dawn Marie Russell - NPI 1508906116
Dawn Marie Russell is a Physician Assistant in Wright Patterson Afb, Ohio. Dawn Marie Russell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dawn Marie Russell is 1508906116. The last update date is 2020-03-18.
Dawn Marie Russell's current location address is 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. You can contact this provider via phone number 9372571941. The mailing address for Dawn Marie Russell is 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dawn Marie Russell |
|---|---|
| Address | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| Phone Number | 9372571941 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1508906116 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2020-03-18 |
Provider Mailing Address Detail
| Address | 4881 Sugar Maple Dr |
|---|---|
| City | Wright Patterson Afb |
| State | Ohio (OH) |
| Post Code | 454335250 |
| Phone Number | 9372571941 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1076380 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110474 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dawn Marie Russell by the Centers for Medicare & Medicaid Services (CMS)?
The Dawn Marie Russell has been assigned the NPI (National Provider Identifier) 1508906116. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Dawn Marie Russell located?
The Dawn Marie Russell is located at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 454335250.
What is Dawn Marie Russell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dawn Marie Russell is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did the Dawn Marie Russell receive its 1508906116?
The Dawn Marie Russell was issued its 1508906116 on 2007-02-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Dawn Marie Russell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dawn Marie Russell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-03-18.
NPI Number: 1063415297
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