Peter Joseph Russo in Stockton - Physician Assistant
Peter Joseph Russo - NPI 1588729941
Peter Joseph Russo is a Physician Assistant in Stockton, California. Peter Joseph Russo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Peter Joseph Russo is 1588729941. The last update date is 2015-04-10.
Peter Joseph Russo's current location address is 2545 W Hammer Ln, Stockton, California. You can contact this provider via phone number 2099577050. The mailing address for Peter Joseph Russo is 2545 W Hammer Ln, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Joseph Russo |
|---|---|
| Address | 2545 W Hammer Ln, Stockton, California |
| Phone Number | 2099577050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1588729941 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2015-04-10 |
Provider Mailing Address Detail
| Address | 2545 W Hammer Ln |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952092839 |
| Phone Number | 2099577050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA14699 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CD069A | CA | GROUP PTAN-GREATER MODESTO MED |
Post Comment/ Review Below
What is the unique identifier code issued to Peter Joseph Russo by the Centers for Medicare & Medicaid Services?
The Peter Joseph Russo has been assigned the NPI (National Provider Identifier) 1588729941. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to Peter Joseph Russo by the Centers for Medicare & Medicaid Services?
The Peter Joseph Russo has been assigned the NPI (National Provider Identifier) 1588729941 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Peter Joseph Russo is physically located?
The Peter Joseph Russo is situated at the following address: 2545 W Hammer Ln, Stockton, CA 952092839.
Could you please share the complete physical location address where Peter Joseph Russo's facilities are situated?
The facilities of Peter Joseph Russo are physically located at the following address: 2545 W Hammer Ln, Stockton, CA, 952092839.
What is Peter Joseph Russo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Peter Joseph Russo is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
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