DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANDREW COLIN RUSSELL, MD

Active Sole Proprietor

DR. ANDREW COLIN RUSSELL, MD is a Emergency Medicine healthcare provider located in EDWARDSVILLE, Illinois. NPI 1902120819 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · EDWARDSVILLE, IL

Registration Details

NPI Number
1902120819
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2010 (16.430565315238 yrs)
Last Updated
Oct 18, 2024
Licenses
2012023819 (MO)
036.134694 (IL)
Sole Proprietor
Yes

Practice Information

Address
28 COUNTRY CLUB VW
EDWARDSVILLE, IL, 620253626
Browse IL providers · Browse ZIP 62025
Phone
5734249110
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in EDWARDSVILLE, IL

Name Credential NPI
DR. EDWARD MOY MD 1851367023
CHARLOTTE HOPE ALBINSON MD 1366400608
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.