Individual
JAMES F RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NM 87109
(505) 262-3212
(505) 262-3381
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A94992
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E1605
—
NM
Enumeration date
07/11/2006
Last updated
08/23/2024
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