| Crystal L Russo, PA | |
|
900 E Broadway Ave, Bismarck, ND 58501-4520 | |
| (701) 530-6500 | |
| Not Available |
| Full Name | Crystal L Russo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 900 E Broadway Ave, Bismarck, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902094584 | NPI | - | NPPES |
| 1463523 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0582 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal L Russo, PA Po Box 997, Bismarck, ND 58502-0997 Ph: (701) 530-6500 | Crystal L Russo, PA 900 E Broadway Ave, Bismarck, ND 58501-4520 Ph: (701) 530-6500 |
Burton J Mollman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Coleman St Ste 107, Bismarck, ND 58503 Phone: 701-751-4340 Fax: 701-751-4340 | |
Djaninn Mae Shannon Mckibben, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Tracy L Vearrier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2520 N 7th St, Bismarck, ND 58503 Phone: 701-223-6595 | |
Samantha Mollman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 N 10th St, Bismarck, ND 58501 Phone: 701-530-7500 | |
Kari A Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Stacie L Moritz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501 Phone: 701-530-6000 Fax: 701-530-6430 | |
Micheal Henke, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-5600 |