David Joseph Russell
ActiveCalifornia license A89958
License
- Licensed by
- Medical Board of California
- License number
- A89958
- Status
- Active (Current)
- First issued
- January 26, 2005
- Expires
- May 31, 2028
- License holder
- David Joseph Russell
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
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Contact
Providence medical group NC
1162 Montgomery Dr
Santa Rosa, CA 95404
1162 Montgomery Dr
Santa Rosa, CA 95404
Sonoma County