Organization · Type 2 NPI

Michael B Russo Md, Inc

Specialist · Honolulu, HI

NPI number 1871972232 Active

Practice location

250 Ward Ave, Suite #170
Honolulu, HI 96814-4015

Call (808) 294-3332 Map

Mailing address

8513 NE Hazel Dell Ave, Suite #102
Vancouver, WA 98665-8068

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	MD14968 (HI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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Brent W.l. Fong IiMassage Therapist Honolulu, HI NPI 1699947143

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NPI record

NPI: 1871972232
Entity type: Organization (Type 2)
Issued: May 19, 2015
Last updated: Jun 11, 2019
Status: Active

Other names

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Honolulu Neuroscience Clinic · doing business as
Honolulu Neuroscience Clinic · doing business as

Authorized official

Michael Brian Russo, MD
Owner
(808) 294-3332

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1871972232

Michael B Russo Md, Inc's National Provider Identifier is 1871972232, issued on May 19, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Honolulu, HI. The record was last updated on Jun 11, 2019.