Provider Demographics
NPI:1891815114
Name:RUSSELL GILBERT, M.D., P.L.C.
Entity Type:Organization
Organization Name:RUSSELL GILBERT, M.D., P.L.C.
Other - Org Name:SCOTTSDALE INSOMNIA AND SLEEP MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER OF P.L.C.
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-467-0300
Mailing Address - Street 1:6120 E BAR Z LN
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1720
Mailing Address - Country:US
Mailing Address - Phone:480-483-1771
Mailing Address - Fax:
Practice Address - Street 1:8300 N HAYDEN RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-2458
Practice Address - Country:US
Practice Address - Phone:480-467-0300
Practice Address - Fax:480-467-0399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty