NPI 1902830037

Debora J Russell, MD

Practitioner Obstetrics & Gynecology Physician Gallup, NM

Practice location

Address: 516 E. Nizhoni Blvd Box 1337, Gallup, NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1294

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 99-292 (NM)

Other Obstetrics & Gynecology providers in New Mexico →

Registry record

NPI: 1902830037
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2006
Record last updated: 17 Apr 2008

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.