MICHAEL ANTHONY RUSSO

FOUNTAIN VALLEY, CA
NPI1700084381
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: CA  A125016)
Additional Taxonomies208600000X Surgery
(Licence: TX  Q1013)
Enumeration Date2007-07-05
Last Update Date2023-03-07
Business Address
MICHAEL ANTHONY RUSSO MD
1811 BROOKFURST ST #5600
FOUNTAIN VALLEY, CA 92708-6728
Phone number: 714-861-4666
Mailing Address
MICHAEL ANTHONY RUSSO MD
1811 BROOKFURST ST #5600
FOUNTAIN VALLEY, CA 92708-6728
Phone number: 714-861-4666
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