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Search › Arizona › 207V00000X

Robert Russell

NPI 1164081568 · on the registry since 2019

Practice

Address
2550 E Guadalupe Rd Ste 109
Gilbert, AZ 85234
Phone
(480) 785-2100
Organisation at this address
Jamie P Coffey Dpm Pc
Jumana Ghorab, Dds, Pc
Pediatric Dental Specialists, Ppc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
207V00000X
207V00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona