Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDGAR RUSSELL, D.O.
ActiveEDGAR RUSSELL, D.O. is a Adolescent Medicine healthcare provider located in RIVERSIDE, California. NPI 1790707156 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · RIVERSIDE, CA
Registration Details
- NPI Number
- 1790707156
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (20.075445028506 yrs)
- Last Updated
- Jul 9, 2007
- License
-
20A6100 (CA)
Practice Information
- Address
-
6276 RIVER CREST DRRIVERSIDE, CA, 925070754Browse CA providers · Browse ZIP 92507
- Phone
- 9514130964
- Fax
- 9516535161
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| ROGER G ANNABEL | MD | 1760529176 |
| CHARLOTTE ZANE | M.D. | 1730379082 |
| DR. LAWRENCE B SANDBERG | M.D. | 1063845972 |
| MAYETTE BAYLON GONZALES | NURSE PRACTITIONER | 1154006310 |
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.