Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL MARC ELMER, MD
ActiveDR. RUSSELL MARC ELMER, MD is a Adolescent Medicine healthcare provider located in SONOMA, California. NPI 1871539122 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · SONOMA, CA
Registration Details
- NPI Number
- 1871539122
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.121124974947 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C37670 (CA)
Practice Information
- Address
-
15000 ARNOLD DRIVESONOMA, CA, 954311493Browse CA providers · Browse ZIP 95431
- Phone
- 7079386556
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.