Individual
MR. ANTHONY JOHN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 455-5000
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11747
MT
207X00000X
Orthopaedic Surgery Physician
MD00045946
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
11747
MT
Other
Enumeration date
01/19/2006
Last updated
11/06/2024
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