MR. Peter Joseph Russo PA

  • NPI 1588729941
According to our database, the NPI number for MR. Peter Joseph Russo PA is 1588729941 and activated since 17 years ago. MR. Peter Joseph Russo PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 2545 W Hammer Ln, Stockton, CA 95209. You can also contact MR. Peter Joseph Russo PA via telephone number is (209) 957-7050. Provider NPI information was last updated on 04/10/2015.

Recently Active NPIs

Overview of MR. Peter Joseph Russo PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/26/2006
  • Last updated: 04/10/2015

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA14699
  • License State: CA

Provider Mailing Address

  • Address: 600 Coffee Rd
    Modesto, CA 95355
  • Phone: 209-521-6097
  • Fax:

Provider Practice Location

  • Address: 2545 W Hammer Ln
    Stockton, CA 95209
  • Phone: 209-957-7050
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA14699
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: CD069A
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: GROUP PTAN-GREATER MODESTO MEDICAL SURGICAL ASSOCIATES

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Peter Joseph Russo PA?
  • A: The npi number for MR. Peter Joseph Russo PA is 1588729941.
  • Q: What are MR. Peter Joseph Russo PA's specialties?
  • A: MR. Peter Joseph Russo PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for MR. Peter Joseph Russo PA?
  • A: The medical license number for MR. Peter Joseph Russo PA is PA14699 and issued in CA in USA.
  • Q: Where is MR. Peter Joseph Russo PA practice location?
  • A: MR. Peter Joseph Russo PA is practicing at 2545 W Hammer Ln, Stockton, CA 95209.
  • Q: How to contact MR. Peter Joseph Russo PA?
  • A: You can contact MR. Peter Joseph Russo PA via 209-957-7050.