| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RUSSELL JESSE STEWART | 1134356074 | 2024-04-07 |
Russell J Stewart [M] graduated in 2009 and primarily specializes in Diagnostic Radiology.
Russell Jesse Stewart is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1134356074. Registration indicates Russell Jesse Stewart is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Diagnostic Radiology (Radiology),, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| PECOS ID | 1456579259 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Russell Jesse Stewart MD |
| Practice Office Address | 300 PASTEUR DR STANFORD, CA US |
| Practice Office Telephone | 6507234000 |
| Mailing Address | 300 PASTEUR DR STANFORD, CA 943052200 US |
| Business Telephone | 6507234000 |
| Code | Practice | License No State |
|---|---|---|
| 2085R0202X | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | 125.056470
IL |
| 2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | A113416
CA |