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

TRENT RUSSELL, PA

Active Sole Proprietor

TRENT RUSSELL, PA is a Physician Assistant healthcare provider located in MURRAY, Utah. NPI 1457630642 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MURRAY, UT

Registration Details

NPI Number
1457630642
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2011 (15.011713177244 yrs)
Last Updated
Aug 5, 2011
Sole Proprietor
Yes

Practice Information

Address
5444 GREEN ST
MURRAY, UT, 841235632
Browse UT providers · Browse ZIP 84123
Phone
8012628120
Fax
8012623897
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MURRAY, UT

Name Credential NPI
STEVE MASON PAC 1891764965
BRUCE A. BOLONESI PA-C 1619928199
MR. MICHAEL HANS FERGUSON P.A. 1982629200
MR. TERENCE JOHN POWERS P.A. 1114942448
MR. PERRY EUGENE HALL P.A. 1164442125
CASSITY WRIGHT BALLENTINE PA-C 1790790111
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.