Russo, Vincent Joseph

Russo, Vincent Joseph is an individual health care provider with primary practice located at 8405 N Pima Center Pkwy Ste 101 , Scottsdale AZ 85258-4669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Russo, Vincent Joseph can be contacted via phone (602) 648-5444.

Contact Information

Primary practice address
8405 N Pima Center Pkwy Ste 101 Scottsdale AZ 85258-4669
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 12496 Arizona

Profile Details

NPI number 1750488425
LBN Legal business name Russo, Vincent Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Aug 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750488425 NPPES
Other 3Z3902 HEALTHNET ID
MEDICAID 200949 HEALTHNET ID

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