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Maxwell Taylor Russell, DO
Student in an Organized Health Care Education/Training Program in Downey, California
NPI 1255181871

Maxwell Taylor Russell is a Student in an Organized Health Care Education/Training Program based in Downey, CA. Maxwell Taylor Russell practices in Downey, CA and has the professional credentials of DO. The NPI Number for Maxwell Taylor Russell is 1255181871 and holds a License No. (California).

The current practice location address for Maxwell Taylor Russell is 11500 Brookshire Ave, Gme Office, Downey, CA and can be reached out via phone at 562-904-5374.

Location: 11500 Brookshire Ave, Gme Office, Downey, CA, 90241-4917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255181871
Provider Name
Maxwell Taylor Russell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
11500 Brookshire Ave, Gme Office, Downey, CA, 90241-4917
Phone Number
562-904-5374
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
11500 Brookshire Ave, Gme Office
City
Downey
State
California
Zip
90241-4917
Phone Number
562-904-5374
Fax Number
person
Provider Business Mailing Address Details
Address
11500 Brookshire Ave, Gme Office
City
Downey
State
California
Zip
90241-4917
Phone Number
562-904-5374
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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