Dr ANDREW B RUSSELL is a male medical professional, specializing in Family Medicine. He graduated in 2015.
SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT
11 ELLIOTT BARKER LANE
ANGEL FIRE
NM
877100133
Tel: 5753773301
| Npi | 1669869558 |
| Pac Id | 9931413077 |
| Professional Enrollment Id | I20190712002819 |
| Last Name | RUSSELL |
| First Name | ANDREW |
| Middle Name | B |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT |
| Group Practice Pac Id | 6800070707 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 11 ELLIOTT BARKER LANE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ANGEL FIRE |
| State | NM |
| Zip Code | 877100133 |
| Phone Number | 5753773301 |
| Hospital Affiliation Ccn 1 | 321310 |
| Hospital Affiliation Lbn 1 | HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS |
| Hospital Affiliation Ccn 2 | 321307 |
| Hospital Affiliation Lbn 2 | MINERS' COLFAX MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.