Individual
TED RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9003 E SHEA BLVD, SCOTTSDALE, AZ 85260-6709
(480) 323-3861
Mailing address
9003 E SHEA BLVD, SCOTTSDALE, AZ 85260-6709
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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