NPI 1992898894
David Ray Russell, OD
Practice location
- Address
- 720 6th St, Evanston, WY 82930
- Phone
- (307) 789-1500
- Fax
- (307) 789-0077
- Mailing address
- 720 6th St, Evanston, WY 82930-3702
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1992898894
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Oct 2006
- Record last updated
- 2 Aug 2018
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.