Individual
DR. JOHN BAPTIST RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 W 6TH ST, SAN PEDRO, CA 90731-2521
(310) 547-0202
(310) 547-5096
Mailing address
593 W 6TH ST, SAN PEDRO, CA 90731-2521
(310) 547-0202
(310) 547-5096
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A39364
CA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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