National Provider Identifier
David S Russell, RPA-C
David S Russell, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Lockport, NY and a listed phone number of (716) 439-0193.
Profile Overview
- NPI
- 1295733921
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 07, 2005
- Last Updated
- September 24, 2010
Practice Location
- 438 High St
- Lockport, NY 14094-4742
Phone: (716) 439-0193
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1295733921
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- David
- Middle Name
- S
- Credential
- RPA-C
- Mailing Street Address
- 438 High St
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-4742
- Mailing Country
- US
- Mailing Phone
- (716) 439-0193
- Mailing Fax
- (716) 438-3543
- Practice Street Address
- 438 High St
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-4742
- Practice Country
- US
- Practice Phone
- (716) 439-0193
- Practice Fax
- (716) 438-3543
- Enumeration Date
- July 07, 2005
- Last Updated
- September 24, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)