Russell, James Craig

Russell, James Craig is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 400, Phoenix AZ 85013-4222. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Russell, James Craig can be contacted via phone (602) 406-3874.

Contact Information

Primary practice address
500 W Thomas Rd Ste 400 Phoenix AZ 85013-4222
Phone: (602) 406-3874
Fax: (602) 406-4011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21323 Arizona
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 21323 Arizona

Profile Details

NPI number 1982609244
LBN Legal business name Russell, James Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated May 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982609244 NPPES
Arizona MEDICAID 142042

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