Search › Arizona › 207Q00000X
Nathan Russell, MD
NPI 1205360237 · on the registry since 2017
Practice
- Address
- 37100 N Gantzel Rd Ste 201a
San Tan Valley, AZ 85140 - Phone
- (480) 394-4469
- Organisation at this address
- O.Serrano, M.D. Pllc
Banner Physician Super Specialists Arizona LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 527 Medical Park Dr, Bridgeport, WV
- 37000 N Gantzel Rd, San Tan Valley, AZ
- 6644 E Baywood Ave, Mesa, AZ
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 208M00000X
390200000X - Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-26
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