PETER RUSSO

GRETNA, LA
NPI1720627037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-01-03
Last Update Date2020-01-03
Business Address
PETER RUSSO
120 OCHSNER BLVD
GRETNA, LA 70056-5255
Phone number: 504-391-7620
Mailing Address
PETER RUSSO
1000 GIROD ST APT 216
NEW ORLEANS, LA 70113-1991
Phone number:
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