Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DARIC J RUSSELL, DO
Active Sole ProprietorDARIC J RUSSELL, DO is a Pain Medicine (Anesthesiology) healthcare provider located in IDAHO FALLS, Idaho. NPI 1154681633 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1154681633
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2012 (14.25020547578 yrs)
- Last Updated
- Jan 6, 2020
- License
-
0-1036 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3385 POTOMAC WAYIDAHO FALLS, ID, 834044978Browse ID providers · Browse ZIP 83404
- Phone
- 2085227246
- Fax
- 2085292620
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
Other Pain Medicine (Anesthesiology) Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| BARRY BEUTLER | M.D. | 1972718658 |
| DR. JASON MICHAEL POSTON | MD | 1457527772 |
| DR. DANIEL PHILIP WISER SMITH | D.O. | 1235454901 |
| MELANIE WOOD | MD | 1811492879 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.