NPI 1093787988

Alexander Brevard Russell, Jr, MD

Practitioner Pediatrics Physician Soldotna, AK

Practice location

Address: 245 N Binkley St Suite 101, Soldotna, AK 99669-7500
Phone: (907) 714-4111
Fax: (844) 912-3953

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 786 (AK)

Other Pediatrics providers in Alaska →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 010653 (GA)

Registry record

NPI: 1093787988
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2006
Record last updated: 17 Jul 2020

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.