Dr DARIC J RUSSELL is a male medical professional, specializing in Pain Management. He graduated in 2012 from Arizona College Of Osteopathic Medicine Mid Western University.
MOUNTAIN VIEW HOSPITAL LLC
2325 CORONADO ST
IDAHO FALLS
ID
834047407
Tel: 2085572700
| Npi | 1154681633 |
| Pac Id | 2365671575 |
| Professional Enrollment Id | I20170711001807 |
| Last Name | RUSSELL |
| First Name | DARIC |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2012 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialty 1 | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Organization Legal Name | MOUNTAIN VIEW HOSPITAL LLC |
| Group Practice Pac Id | 4486562774 |
| Number Of Group Practice Members | 110 |
| Line 1 Street Address | 2325 CORONADO ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834047407 |
| Phone Number | 2085572700 |
| Hospital Affiliation Ccn 1 | 130065 |
| Hospital Affiliation Lbn 1 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 2 | 130018 |
| Hospital Affiliation Lbn 2 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 130025 |
| Hospital Affiliation Lbn 3 | MADISON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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