Anthony Leonard Russo in Post Falls - General Practice
Anthony Leonard Russo - NPI 1144213455
Anthony Leonard Russo is a General Practice in Post Falls, Idaho. Anthony Leonard Russo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Anthony Leonard Russo is 1144213455. The last update date is 2021-11-04.
Anthony Leonard Russo's current location address is 750 N Syringa St Ste 100, Post Falls, Idaho. You can contact this provider via phone number 2082622600 and fax number 2082622700. The mailing address for Anthony Leonard Russo is 750 N Syringa St Ste 100, Post Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Leonard Russo |
|---|---|
| Address | 750 N Syringa St Ste 100, Post Falls, Idaho |
| Phone Number | 2082622600 |
| Fax Number | 2082622700 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144213455 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2021-11-04 |
Provider Mailing Address Detail
| Address | 750 N Syringa St Ste 100 |
|---|---|
| City | Post Falls |
| State | Idaho (ID) |
| Post Code | 838545275 |
| Phone Number | 2082622600 |
| Fax Number | 2082622700 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD61084253 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1144213455 | ID | -- | |
| 2106800 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Anthony Leonard Russo by the Centers for Medicare & Medicaid Services?
The Anthony Leonard Russo has been issued the NPI (National Provider Identifier) 1144213455, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Anthony Leonard Russo is geographically located?
The Anthony Leonard Russo is physically situated at the following location: 750 N Syringa St Ste 100, Post Falls, ID, 838545275.
What is the Anthony Leonard Russo's specialty and taxonomy code?
The Anthony Leonard Russo's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
When did the Anthony Leonard Russo receive its 1144213455?
The Anthony Leonard Russo was issued its 1144213455 on 2005-08-23, which is the date when the organization was assigned this unique identifier.
When was the information regarding Anthony Leonard Russo most recently updated?
The details pertaining to the Anthony Leonard Russo, including its address, specialty, and other relevant information, were last refreshed on 2021-11-04.