person
Mr. Russell Wayne Doyle, PA
Medical Physician Assistant in Red Bluff, California
NPI 1720096449

Russell Wayne Doyle is a Medical Physician Assistant based in Red Bluff, CA and is specialized in Medical. Russell Wayne Doyle practices in Red Bluff, CA and has the professional credentials of PA. The NPI Number for Russell Wayne Doyle is 1720096449 and holds a License No. PA11684 (California).

The current practice location address for Russell Wayne Doyle is 2540 Sister Mary Columba Dr, Red Bluff, CA and can be reached out via phone at 530-528-8899 and via fax at 530-528-8898.

Location: 2540 Sister Mary Columba Dr, Red Bluff, CA, 96080-4327
person
Provider Profile Details
NPI Number
1720096449
Provider Name
Russell Wayne Doyle
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2540 Sister Mary Columba Dr, Red Bluff, CA, 96080-4327
Phone Number
530-528-8899
Fax Number
530-528-8898
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ27575Z 01 CA GROUP ID NUMBER
institution
Provider Business Practice Location Address Details
Address
2540 Sister Mary Columba Dr
City
State
Zip
96080-4327
Phone Number
530-528-8899
Fax Number
530-528-8898
person
Provider Business Mailing Address Details
Address
2540 Sister Mary Columba Dr
City
State
Zip
96080-4327
Phone Number
530-528-8899
Fax Number
530-528-8898
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA11684 (California)
Definition
Definition to come...
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