NPI 1043215809

Byron Dale Russell, MD

Practitioner Urology Physician Port Angeles, WA

Practice location

Address: 907 Georgiana St, Port Angeles, WA 98362-3911
Phone: (360) 565-0999
Fax: (360) 565-9251
Mailing address: PO Box 850, Port Angeles, WA 98362-0146

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD00025573 (WA)

Other Urology providers in Washington →

Registry record

NPI: 1043215809
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2005
Record last updated: 19 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.