Individual provider · Type 1 NPI

Peter John Russo, PA-C

Medical Physician Assistant · Akron, OH

NPI number 1356431456 Active

Practice location

55 W Waterloo Rd
Akron, OH 44319-1116

Mailing address

211 Ridge Rd
Mogadore, OH 44260-2022

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50.000448 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1356431456

Peter John Russo, PA-C's National Provider Identifier is 1356431456, issued on Oct 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Akron, OH. The record was last updated on Jul 8, 2007.