Russell Allen Disch
Russell Allen Disch is a Physician Assistant in Albuquerque, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
5504 Menaul Blvd NE Ste FAlbuquerque, NM 87110-3184
Phone: (505) 348-2868
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1881260388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2021 |
| Last updated in NPPES | June 13, 2021 |
| Certification date | June 13, 2021 |
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