Individual provider · Type 1 NPI
Paula Petrullo Russo, PA
Medical Physician Assistant · Ranson, WV
NPI number
1619023322
Active
Practice location
207 E 5th Ave
Ranson, WV 25438-1613
Fax (304) 728-9735
Mailing address
6568 Flowing Springs Rd
Shenandoah Junction, WV 25442-4666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 00382 (WV) |
Medical Physician Assistant: Definition to come...
6 other providers at this address
- City Hospital, Inc.Internal Medicine Physician Ranson, WV NPI 1336657493
- Jefferson Med-Peds IncInternal Medicine Physician Ranson, WV NPI 1568400901
- Robert Jones MDAdolescent Medicine (Internal Medicine) Physician Ranson, WV NPI 1932269024
- Alice Helene Fens, PAMedical Physician Assistant Ranson, WV NPI 1740207612
- Robert E. Jones Iii, MDInternal Medicine Physician Ranson, WV NPI 1255331021
- Vikram Dayal, MDInternal Medicine Physician Ranson, WV NPI 1174515548
Other medical physician assistant providers in Ranson
About NPI 1619023322
Paula Petrullo Russo, PA's National Provider Identifier is 1619023322, issued on Jan 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ranson, WV. The record was last updated on Jul 8, 2007.