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Mr. Russell Memhard, PA-C
Surgical Physician Assistant in Albany, New York
NPI 1689705014

Russell Memhard is a Surgical Physician Assistant based in Albany, NY and is specialized in Surgical. Russell Memhard practices in Albany, NY and has the professional credentials of PA-C. The NPI Number for Russell Memhard is 1689705014 and holds a License No. 004263-1 (New York).

The current practice location address for Russell Memhard is 600 Northern Blvd, Albany, NY and can be reached out via phone at 518-471-3272.

Location: 600 Northern Blvd, Albany, NY, 12212-4890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689705014
Provider Name
Russell Memhard
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
600 Northern Blvd, Albany, NY, 12212-4890
Phone Number
518-471-3272
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 Northern Blvd
City
Albany
State
New York
Zip
12204-1004
Phone Number
518-471-3272
Fax Number
person
Provider Business Mailing Address Details
Address
600 Northern Blvd
City
Albany
State
New York
Zip
12204-1004
Phone Number
518-471-3272
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
004263-1 (New York)
Definition
Definition to come...
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