Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL ALAN DAMICO, LDO
Active Sole ProprietorRUSSELL ALAN DAMICO, LDO is a 156FX1201X healthcare provider located in TUCSON, Arizona. NPI 1386447589 is currently active in the NPPES registry. Verify at CMS.
156FX1201X · TUCSON, AZ
Registration Details
- NPI Number
- 1386447589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2025 (1.3308406421749 yrs)
- Last Updated
- Mar 31, 2025
- License
-
2474 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1650 W VALENCIA RDTUCSON, AZ, 857466021Browse AZ providers · Browse ZIP 85746
- Phone
- 5205733264
- Fax
- 5202942686
- Primary Specialty
-
156FX1201X
156FX1201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.