Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

George Ray Russell MD PC

Organization Dermatology Physician · NPI 1588865646

George Ray Russell MD PC is a Dermatology Physician in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Alpine Ave #50
Boulder, CO 80304-3409
Phone: (303) 444-4864
Fax: (303) 444-4865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 17600 (CO)

Record details

NPI number1588865646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Russell — President · (303) 444-4864
NPI enumeratedMay 29, 2007
Last updated in NPPESMay 7, 2008
Mailing addressPo Box 18058, Boulder, CO 80308-1058

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