| Organization Name: | DAVID JOSEPH RUSSELL MD PC |
| NPI Number: | 1033373451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID J RUSSELL (OWNER) |
| Mailing Address: | 2200 Bryant Williams Dr Klamath Falls |
| State: | OR US |
| Postal Code: | 976011120 |
| Phone Number: | 5412742894 |
| Fax Number: | 5412743392 |
| NPI Enumeration Date: | 07/15/2008 |
| NPI Last Update Date: | 10/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | MD28531 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |