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

Russell Dodson, PAC

Individual provider Medical Physician Assistant · NPI 1760475354

Russell Dodson, PAC is a Medical Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

34975 N North Valley Pkwy Ste 100
Phoenix, AZ 85086-4028
Phone: (623) 295-4820
Fax: (623) 295-4830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1015 (AZ)

Record details

NPI number1760475354
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 29, 2005
Last updated in NPPESSeptember 25, 2013

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