MRS. Paula Petrullo Russo, PA
NPI #1619023322 in Ranson, West Virginia
Provider Information
- NPI Number
- 1619023322
- Entity Type
- Individual
- Name
- MRS. Paula Petrullo Russo, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 207 E 5TH AVE
- City
- Ranson
- State
- West Virginia
- ZIP Code
- 25438-1613
- Phone
- (304) 728-5051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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