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Organization

AKRON VA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER JOHN RUSSO PA-C (PHYSICIAN ASSISTANT-CERTIFIED)
(330) 724-7715
Entity
Organization

Contact information

Practice address
55 W WATERLOO RD, AKRON, OH 44319-1116
(330) 724-7715
Mailing address
211 RIDGE RD, MOGADORE, OH 44260-2022
(330) 628-5508

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
448
OH

Other

Enumeration date
08/30/2006
Last updated
08/22/2020
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