Samuel J Russo Do PC

NPI #1871601542 in Roseburg, Oregon

Provider Information

NPI Number: 1871601542
Entity Type: Organization
Organization Name: Samuel J Russo Do PC
Primary Specialty: Family Medicine
Enumeration Date: Aug 25, 2006
Last Updated: Aug 27, 2008

Practice Location

Address: 2460 NW STEWART PKWY
Address 2: SUITE 100
City: Roseburg
State: Oregon
ZIP Code: 97471-1516
Phone: (541) 677-6586

Authorized Official

Name: DR. SAMUEL J RUSSO, DO
Title: OWNER
Phone: (541) 677-6586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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