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

Individual provider Physician Assistant · NPI 1457630642

Trent Russell, PA is a Physician Assistant in Murray, Utah. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5444 Green St
Murray, UT 84123-5632
Phone: (801) 262-8120
Fax: (801) 262-3897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1457630642
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 5, 2011
Last updated in NPPESAugust 5, 2011

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