Organization
J RUSS SURGICAL ASSIST SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER I RUSS RN (RNFA)
(303) 503-8783
Entity
Organization
Contact information
Practice address
6045 PEMBERTON WAY, COLORADO SPRINGS, CO 80919-2459
(303) 503-8783
Mailing address
6045 PEMBERTON WAY, COLORADO SPRINGS, CO 80919-2459
(303) 503-8783
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
05/05/2026
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