Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL ROLISON MANN, MA
Active Sole ProprietorRUSSELL ROLISON MANN, MA is a Contractor healthcare provider located in FLAGSTAFF, Arizona. NPI 1851470025 is currently active in the NPPES registry. Verify at CMS.
Contractor · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1851470025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.796326325008 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3807 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
59 PINE DEL STFLAGSTAFF, AZ, 860019603Browse AZ providers · Browse ZIP 86001
- Phone
- 9287745669
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in FLAGSTAFF, AZ
| Name | Credential | NPI |
|---|---|---|
| LISA GRANGER | — | 1881039113 |
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.