David Joseph Russell Md Pc

LBN: David Joseph Russell Md Pc
David Joseph Russell Md Pc is an health care organization with primary practice located at 2200 Bryant Williams Dr , Klamath Falls OR 97601-1120. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. David Joseph Russell Md Pc can be contacted via phone (541) 274-2894, or through Russell, David J via phone (541) 274-2894.

Contact Information

Primary practice address
2200 Bryant Williams Dr Klamath Falls OR 97601-1120
Phone: (541) 274-2894
Fax: (541) 274-3392
Website:
Map and Directions
Authorized official contact:
Name: Russell, David J Doctor of Medicine (MD)
Phone: (541) 274-2894

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD28531 Oregon
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD28531 Oregon

Profile Details

NPI number 1033373451
LBN Legal business name David Joseph Russell Md Pc
DBA Doing business as
Authorized official Russell, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2008
Last updated Oct 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033373451 NPPES
Oregon MEDICAID 024212

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