National Provider Identifier Database

DARIC J RUSSELL, DO – NPI #1154681633
Pain Medicine

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.


Contact Information

DARIC J RUSSELL, DO
3385 POTOMAC WAY
IDAHO FALLS, ID83404-4978
Phone: 208-522-7246
Fax: 208-529-2620
Website:
Specialty Taxonomy Code
* Pain Medicine 207LP2900X

* Indicates primary specialty

NPI Profile & details for DARIC J RUSSELL

NPI Number 1154681633
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/18/2012
Last updated 01/06/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • ID License #: 0-1036
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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