Individual
STEVEN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MUIR RD, MARTINEZ, CA 94553-4614
(925) 313-4931
Mailing address
200 MUIR RD, MARTINEZ, CA 94553-4614
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A163836
CA
Other
Enumeration date
10/13/2016
Last updated
07/31/2024
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