Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL GORDON MARQUARDT SR., PA-C
ActiveMR. RUSSELL GORDON MARQUARDT SR., PA-C is a Medical Physician Assistant healthcare provider located in HARLAN, Iowa. NPI 1477551661 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HARLAN, IA
Registration Details
- NPI Number
- 1477551661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2005 (21.129469891835 yrs)
- Last Updated
- Dec 4, 2007
- License
-
888 (IA)
Practice Information
- Address
-
1220 CHATBURN AVEHARLAN, IA, 515372009Browse IA providers · Browse ZIP 51537
- Phone
- 7127555130
- Fax
- 7127554445
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.