person
Russell Davis
Family Nurse Practitioner in Tooele, Utah
NPI 1982148581

Russell Davis is a Family Nurse Practitioner based in Tooele, UT and is specialized in Family. Russell Davis practices in Tooele, UT. The NPI Number for Russell Davis is 1982148581 and holds a License No. 4988445-4405 (Utah).

The current practice location address for Russell Davis is 1887 Aaron Dr Ste B, Tooele, UT and can be reached out via phone at 435-775-9969.

Location: 1887 Aaron Dr Ste B, Tooele, UT, 84074
person
Provider Profile Details
NPI Number
1982148581
Provider Name
Russell Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1887 Aaron Dr Ste B, Tooele, UT, 84074
Phone Number
435-775-9969
Fax Number
Provider Enumeration Date
12/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1887 Aaron Dr Ste B
City
State
Zip
84074-8138
Phone Number
435-775-9969
Fax Number
person
Provider Business Mailing Address Details
Address
1887 Aaron Dr Ste B
City
State
Zip
84074-8138
Phone Number
435-775-9969
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4988445-4405 (Utah)
Definition
Definition to come...
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