NPI 1295703098
Jim Russ
Practice location
- Address
- 113 Joyce Ctr, Notre Dame, IN 46556-5678
- Phone
- (574) 631-3304
- Fax
- (574) 631-3305
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1295703098
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Mar 2006
- Record last updated
- 13 Jul 2026
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.