DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RUSSELL S PHILLIPS

Active

MR. RUSSELL S PHILLIPS is a Community Health Worker healthcare provider located in STOCKTON, California. NPI 1184777492 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · STOCKTON, CA

Registration Details

NPI Number
1184777492
Provider Type
Individual
Gender
Male
NPI Issued
Jan 19, 2007 (19.384372451681 yrs)
Last Updated
Dec 21, 2023

Practice Information

Address
1212 N CALIFORNIA ST
STOCKTON, CA, 952021552
Browse CA providers · Browse ZIP 95202
Phone
2099535436
Primary Specialty
Community Health Worker
172V00000X
Additional Specialty
Community Health Worker

Other Community Health Worker Providers in STOCKTON, CA

Name Credential NPI
MS. CARLA JEAN SKILES B.S. 1740307719
CHANTON LAM-COPELAND 1467574137
MR. TODD FABIAN MA, BCBA 1619090701
MS. JENNIE LUPE MONTOYA 1073636528
MRS. RAKSMEY TIANO PHD 1649440280
JERRY WALLACE JORDAN JR. 1346414851
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.