Individual
GILBERTO C. RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71777 SAN JACINTO DR, STE 101G, RANCHO MIRAGE, CA 92270-4457
(760) 969-6559
Mailing address
71777 SAN JACINTO DR, SUITE 101G, RANCHO MIRAGE, CA 92270-4457
(760) 969-6559
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A63421
CA
Other
Enumeration date
03/31/2006
Last updated
12/28/2011
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