STEPHEN D RUSSELL

Dr STEPHEN D RUSSELL is a male medical professional, specializing in Oral Surgery. He graduated in 2005 from University Of Washington School Of Dentistry.

Contact

2006 CATON WAY SW
OLYMPIA
WA
985011119

Tel:

STEPHEN D RUSSELL Information

Npi 1750398426
Pac Id 2860675659
Professional Enrollment Id I20110401000245
Last Name RUSSELL
First Name STEPHEN
Middle Name D
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY
Graduation Year 2005
Primary Specialty ORAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2006 CATON WAY SW
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OLYMPIA
State WA
Zip Code 985011119
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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

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