Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PETER JOSEPH RUSSO, PA
ActiveMR. PETER JOSEPH RUSSO, PA is a Physician Assistant healthcare provider located in STOCKTON, California. NPI 1588729941 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · STOCKTON, CA
Registration Details
- NPI Number
- 1588729941
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2006 (19.4487224961 yrs)
- Last Updated
- Apr 10, 2015
- Licenses
-
PA14699 (CA)PA14699 (CA)
Practice Information
- Address
-
2545 W HAMMER LNSTOCKTON, CA, 952092839Browse CA providers · Browse ZIP 95209
- Phone
- 2099577050
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. RYAN D HASTINGS | PA | 1912984113 |
| ROBERT D. JOHNSON | PA-C | 1578588232 |
| RACHEL SANCHEZ | PA | 1437173689 |
| MR. ALVARO R GARAY | PA-C | 1306944723 |
| MR. RANDAL J. PINNELLI | P.A. | 1982786570 |
| RABIA AKHTAR | P.A. | 1780743955 |
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.