person
Russell E. Niles, MD
Gynecology Physician in Sacramento, California
NPI 1023022696

Russell E. Niles is a Gynecology Physician based in Rancho Cordova, CA and is specialized in Gynecology. Russell E. Niles practices in Sacramento, CA and has the professional credentials of MD. The NPI Number for Russell E. Niles is 1023022696 and holds a License No. G32453 (California).

The current practice location address for Russell E. Niles is 3000 Q St, Sacramento, CA and can be reached out via phone at 916-733-5336 and via fax at 916-733-5385.

Location: 3000 Q St, Sacramento, CA, 95670-7956
person
Provider Profile Details
NPI Number
1023022696
Provider Name
Russell E. Niles
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3000 Q St, Sacramento, CA, 95670-7956
Phone Number
916-733-5336
Fax Number
916-733-5385
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1211321 01 CA GREAT WEST
4054751 01 CA AETNA
MCMG170800 01 CA WESTERN HEALTH ADVANTAGE
216368 01 CA UNITED HEALTHCARE
4364920 01 CA CIGNA
90018849 01 CA PACIFICARE
000810354304 01 CA PHCS
14028 01 CA INTERPLAN
012413 01 CA HEALTH NET
4812 01 CA FIRST HEALTH
G62453 01 CA BLUE CROSS
00G324530 05 CA
institution
Provider Business Practice Location Address Details
Address
3000 Q St
City
State
Zip
95816-7058
Phone Number
916-733-5336
Fax Number
916-733-5385
person
Provider Business Mailing Address Details
Address
3000 Q St
City
State
Zip
95816-7058
Phone Number
916-733-5336
Fax Number
916-733-5385
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
G32453 (California)
Definition
Definition to come...
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