Individual
RUSS M. MASSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10085 DOUBLE R BLVD, SUITE 120, RENO, NV 89521-5860
(775) 982-5000
(775) 982-8180
Mailing address
780 KUENZLI ST, SUITE 202, RENO, NV 89502-0845
(775) 982-4590
(775) 982-4595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA817
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11832766
CAQH
—
Enumeration date
02/17/2006
Last updated
12/04/2009
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