Organization
VINCENT J. RUSSO, M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT JOSEPH RUSSO M.D. (PHYSICIAN)
(480) 860-1322
Entity
Organization
Contact information
Practice address
10290 N 92ND ST, SUITE 103, SCOTTSDALE, AZ 85258-4522
(480) 860-1322
(480) 860-4062
Mailing address
10290 N 92ND ST, STE 103, SCOTTSDALE, AZ 85258-4522
(480) 860-1322
(480) 860-4062
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12496
AZ
Other
Enumeration date
03/12/2007
Last updated
05/06/2008
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