Scott H Russo D.C.

NPI 1457544884 - Chiropractor - 111N00000X

NPI Details
NPI 1457544884
Gender Male
Enumeration Date 08/20/2007
Last Updated 08/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6040 HAZEL AVE
ORANGEVALE CA, 95662-4539, US
Phone (916) 988-7800
Fax (916) 988-7811
Business Location
6040 HAZEL AVE
ORANGEVALE CA, 95662-4539, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number 15623
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According to our database, Scott H Russo D.C. NPI is 1457544884, taxonomy code is 111N00000X and license number is 15623, license state is located at California. Scott H Russo D.C. physically located at 6040 Hazel Ave, Orangevale CA, 95662-4539. NPI Number Scott H Russo D.C. has the Individual type.

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1457544884 NPI number is provided on an as is basis without warranty of any kind. 1457544884 is maintained by the National Plan & Provider Enumeration System. The contents of Scott H Russo D.C. are for informational purposes only.