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

NOAH RUSSELL

Active

NOAH RUSSELL is a Physician Assistant healthcare provider located in MINOT AIR FORCE BASE, North Dakota. NPI 1235672114 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MINOT AIR FORCE BASE, ND

Registration Details

NPI Number
1235672114
Provider Type
Individual
Gender
Male
NPI Issued
Nov 28, 2016 (9.6900195594564 yrs)
Last Updated
Jan 16, 2026
License
029130 (NY)

Practice Information

Address
194 MISSILE AVE
MINOT AIR FORCE BASE, ND, 58705
Browse ND providers · Browse ZIP 58705
Phone
7017235633
Primary Specialty
Physician Assistant
363A00000X
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.