Russell Davis
Russell Davis is a Family Nurse Practitioner in Tooele, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2016
Practice location Address checks out
1887 Aaron Dr Ste BTooele, UT 84074-8138
Phone: (435) 775-9969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 4988445-4405 (UT) |
|---|
Record details
| NPI number | 1982148581 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 15, 2016 |
| Last updated in NPPES | July 20, 2018 |
| Mailing address | 1887 N Aaron Dr, Suite B, Tooele, UT 84074 |
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