Russell, Leslie A.

Russell, Leslie A. is an individual health care provider with primary practice located at 401 15Th Ave S Suite 204 Radilogy Montana, Pc, Great Falls MT 59405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Russell, Leslie A. can be contacted via phone (406) 727-0484.

Contact Information

Primary practice address
401 15Th Ave S Suite 204 Radilogy Montana, Pc Great Falls MT 59405
Fax: (406) 453-9504
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 7345 Montana

Profile Details

NPI number 1730273160
LBN Legal business name Russell, Leslie A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1730273160 NPPES
Montana MEDICAID 0100436

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