BRIAN RUSSO

ISSAQUAH, WA
NPI1427301084
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  60310413)
Enumeration Date2012-10-19
Last Update Date2021-11-06
Business Address
BRIAN RUSSO PA
751 NE BLAKEY DRIVE SWEDISH MEDICAL CENTER
ISSAQUAH, WA 98027
Phone number: 425-394-0610
Mailing Address
BRIAN RUSSO PA
2005 NW SAMMAMISH RD
ISSAQUAH, WA 98027-8940
Phone number: 425-394-0600
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