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R Denis Russell

  • Male

Medical Specialty

Professional ID

  • NPI: 1790783439
  • PECOS ID: 6204990195
  • Enrollment ID: I20100318000746
  • Credential(MD, DO, DPM):
  • Medical School: College Podiatric Medicine And Surgery University Of Osteopathic Medicine And Health Sciences
  • Medical School Graduation Year: 1970

Location

  • Address1: 11100 Warner Ave
  • Address2: Suite 306
  • City: Fountain Valley
  • State: California
  • Zip Code: 92708
  • Phone Number: (714)979-0313

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):