Jacob R. Russell, DO
Emergency Medicine · Surprise, AZ
UnclaimedDONPI 1417318361
- Primary taxonomy
- 207P00000X
- Enumerated
- 2016-03-18
- Practice location
- Surprise, AZ
- Last NPPES update
- 2022-07-08
State licenses
- AZ · Osteopathic physician · NPPES self-reportedListed on NPI record
- MI · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.