Individual
DR. MATTHEW WILLIAM RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8405 N PIMA CENTER PKWY STE 101, SCOTTSDALE, AZ 85258-4669
(602) 385-2115
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101260365
VA
207X00000X
Orthopaedic Surgery Physician
Primary
52287
AZ
207X00000X
Orthopaedic Surgery Physician
D0081329
MD
Other
Enumeration date
04/11/2011
Last updated
07/26/2022
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