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Jacob Robert Russell, DO
Emergency Medicine Physician in Surprise, Arizona
NPI 1417318361

Jacob Robert Russell is a Emergency Medicine Physician based in Jackson, AZ. Jacob Robert Russell practices in Surprise, AZ and has the professional credentials of DO. The NPI Number for Jacob Robert Russell is 1417318361 and holds a License No. 3749 (Arizona).

The current practice location address for Jacob Robert Russell is 16815 W Bell Rd, Surprise, AZ and can be reached out via phone at 602-833-6900.

Location: 16815 W Bell Rd, Surprise, AZ, 38301-3915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417318361
Provider Name
Jacob Robert Russell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
16815 W Bell Rd, Surprise, AZ, 38301-3915
Phone Number
602-833-6900
Fax Number
Provider Enumeration Date
03/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16815 W Bell Rd
City
Surprise
State
Arizona
Zip
85374-2101
Phone Number
602-833-6900
Fax Number
person
Provider Business Mailing Address Details
Address
16815 W Bell Rd
City
Surprise
State
Arizona
Zip
85374-2101
Phone Number
602-833-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
008645 (Arizona)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
()
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
3749 (Michigan)
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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