Individual
DR. CHRISTOPHER ADAMO RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 833-2367
(209) 833-2345
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A12554
CA
Other
Enumeration date
06/15/2012
Last updated
12/05/2018
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