Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY D. RUSSELL, M.D.
ActiveDR. GARY D. RUSSELL, M.D. is a Family Medicine healthcare provider located in NICHOLSON, Pennsylvania. NPI 1891751848 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NICHOLSON, PA
Registration Details
- NPI Number
- 1891751848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (20.299335833781 yrs)
- Last Updated
- Jul 14, 2020
- License
-
MD044346E (PA)
Practice Information
- Address
-
RT 11LACKAWANNA TRAILNICHOLSON, PA, 18446Browse PA providers · Browse ZIP 18446
- Phone
- 5709426124
- Fax
- 5709426193
- Primary Specialty
-
Family Medicine
207Q00000X
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.