| Samuel J Russo Do Pc | |
|
2460 Nw Stewart Pkwy Suite 100 Roseburg OR 97471-1516 | |
| (541) 677-6586 | |
| (541) 677-6509 |
| Full Name | Samuel J Russo Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2460 Nw Stewart Pkwy, Roseburg, Oregon |
| Authorized Official Name and Position | Samuel J Russo (OWNER) |
| Authorized Official Contact | 5416776586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel J Russo Do Pc 2460 Nw Stewart Pkwy Suite 100 Roseburg OR 97471-1516 Ph: (541) 677-6586 | Samuel J Russo Do Pc 2460 Nw Stewart Pkwy Suite 100 Roseburg OR 97471-1516 Ph: (541) 677-6586 |
| NPI Number | 1871601542 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871601542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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