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

Gary D. Russell, PA-C

Individual provider Physician Assistant · NPI 1437103306

Gary D. Russell, PA-C is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone: (602) 344-5651
Fax: (602) 344-5578
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1136 (AZ)

Record details

NPI number1437103306
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESJuly 13, 2026

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