person
Alexius Russell
Military Health Care Provider in Las Vegas, Nevada
NPI 1851002646

Alexius Russell is a Military Health Care Provider based in Virginia Beach, NV. Alexius Russell practices in Las Vegas, NV. The NPI Number for Alexius Russell is 1851002646 and holds a License No. (Nevada).

The current practice location address for Alexius Russell is 4700 Las Vegas Blvd N, Las Vegas, NV and can be reached out via phone at 702-653-2273.

Location: 4700 Las Vegas Blvd N, Las Vegas, NV, 23462-6592
person
Provider Profile Details
NPI Number
1851002646
Provider Name
Alexius Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
4700 Las Vegas Blvd N, Las Vegas, NV, 23462-6592
Phone Number
702-653-2273
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4700 Las Vegas Blvd N
City
State
Zip
89191-6600
Phone Number
702-653-2273
Fax Number
person
Provider Business Mailing Address Details
Address
4700 Las Vegas Blvd N
City
State
Zip
89191-6600
Phone Number
702-653-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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