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1437129343
KENNETH J RUSSO
SCOTTSDALE, AZ
NPI
1437129343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: AZ 12608)
Enumeration Date
2006-01-24
Last Update Date
2012-12-04
Business Address
-- KENNETH J RUSSO MD
9097 E DESERT COVE DR STE 260
SCOTTSDALE, AZ 85260-6278
Phone number: 480-684-1080
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Mailing Address
-- KENNETH J RUSSO MD
9097 E DESERT COVE # 260
SCOTTSDALE, AZ 85260
Phone number: 480-684-1080
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