Wayne Charles Russi

NPI #1023975737 in Hildale, Utah

Provider Information

NPI Number: 1023975737
Entity Type: Individual
Name: Wayne Charles Russi
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jan 6, 2026
Last Updated: Jan 6, 2026

Practice Location

Address: 320 N OAK ST
Address 2: #1967
City: Hildale
State: Utah
ZIP Code: 84784-1967
Phone: (719) 217-1967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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