Doctor Name: | DEBORA J RUSSELL |
NPI Number: | 1902830037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 99-292 |
Business Practice Address: | 516 E. Nizhoni Blvd Box 1337 Gallup, NM - 873011337 |
Business Phone Number: | 5057221000 |
Business Fax Number: | 5057221294 |
Mailing Address: | 516 E. Nizhoni Blvd, Box 1337 GALLUP |
State: | NM |
Postal Code: | 873011337 |
Phone Number: | 5057221000 |
Fax Number: | 5057221294 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 99-292 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |