William L Russo

NPI 1053403428 - Internal Medicine - 207RC0000X

NPI Details
NPI 1053403428
Gender Male
Enumeration Date 09/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8060 WOLF RIVER BLVD
MEMPHIS TN, 38138-1727, US
Phone (901) 271-1000
Fax (901) 271-2161
Business Location
8060 WOLF RIVER BLVD
MEMPHIS TN, 38138-1727, US
Phone (901) 271-1000
Fax (901) 271-2161
Toxanomy
Taxonomy Code 207RC0000X
License State Tennessee
License Number 0000007142
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According to our database, William L Russo NPI is 1053403428, taxonomy code is 207RC0000X and license number is 0000007142, license state is located at Tennessee. William L Russo physically located at 8060 Wolf River Blvd, Memphis TN, 38138-1727. NPI Number William L Russo has the Individual type.

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1053403428 NPI number is provided on an as is basis without warranty of any kind. 1053403428 is maintained by the National Plan & Provider Enumeration System. The contents of William L Russo are for informational purposes only.