Individual
TIFFANY RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
950 HARRY S TRUMAN DR N, SUITE 140, LARGO, MD 20707
(855) 527-7246
(866) 229-5063
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
(866) 229-5063
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20A21027
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20A21027
CA
Other
Enumeration date
04/03/2019
Last updated
06/06/2024
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