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Andrew Russell, DO
Family Medicine Physician in Monte Vista, Colorado
NPI 1669869558

Andrew Russell is a Family Medicine Physician based in Monte Vista, CO. Andrew Russell practices in Monte Vista, CO and has the professional credentials of DO. The NPI Number for Andrew Russell is 1669869558 and holds a License No. (Colorado).

The current practice location address for Andrew Russell is 925 2Nd Ave, Monte Vista, CO and can be reached out via phone at 719-852-2512 and via fax at 719-852-3923.

Location: 925 2Nd Ave, Monte Vista, CO, 81144-1432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669869558
Provider Name
Andrew Russell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
925 2Nd Ave, Monte Vista, CO, 81144-1432
Phone Number
719-852-2512
Fax Number
719-852-3923
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0068003 01 CO LICENSURE
institution
Provider Business Practice Location Address Details
Address
925 2Nd Ave
City
Monte Vista
State
Colorado
Zip
81144-1432
Phone Number
719-852-2512
Fax Number
719-852-3923
person
Provider Business Mailing Address Details
Address
925 2Nd Ave
City
Monte Vista
State
Colorado
Zip
81144-1432
Phone Number
719-852-2512
Fax Number
719-852-3923
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0068003 (Colorado)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New Mexico)
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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