Type 1 individualNPI 1003603044
ELDON RUSSELL
106S00000X · HUMBOLDT, NE
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 106S00000X | 106S00000X | Primary |
| 3747P1801X | 3747P1801X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s