Robert Russell, JR.
Medical Specialty
Professional ID
- NPI: 1386053890
- PECOS ID: 7517188758
- Enrollment ID: I20170117002214
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2014
Medical Practices
- Organization Name: Body Logic Physical Therapy, P.c.
- Group Practice ID assigned by PECOS: 2466345368
- Number of Group Practice member: 9
Location
- Address1: 715 Maltman Dr
- Address2:
- City: Grass Valley
- State: California
- Zip Code: 95945
- Phone Number: (530)272-7306
Medicare
- Medicare Assignment: Maybe
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):