Russell, Tiffany E

Russell, Tiffany E is an sole proprietor health care provider with primary practice located at 1510 N Stockton Hill Rd , Kingman AZ 86401-5173. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Russell, Tiffany E can be contacted via phone (928) 753-1177.

Contact Information

Primary practice address
1510 N Stockton Hill Rd Kingman AZ 86401-5173
Phone: (928) 753-1177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR0052648 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DR0052648 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 332359 Arizona

Profile Details

NPI number 1124254123
LBN Legal business name Russell, Tiffany E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2009
Last updated Dec 14th, 2023 - about last year

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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