Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER RUSSO
ActivePETER RUSSO is a Physician Assistant healthcare provider located in GRETNA, Louisiana. NPI 1720627037 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRETNA, LA
Registration Details
- NPI Number
- 1720627037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2020 (6.5758850329372 yrs)
- Last Updated
- Jan 3, 2020
Practice Information
- Address
-
120 OCHSNER BLVDGRETNA, LA, 700565255Browse LA providers · Browse ZIP 70056
- Phone
- 5043917620
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRETNA, LA
| Name | Credential | NPI |
|---|---|---|
| JAMIE PARK | PA-C | 1033445663 |
| GENEVIEVE TOLZDORF COMFORT | PA | 1518390376 |
| AARON WEBB | P.A. | 1497117766 |
| STEPHANIE ROUBION | — | 1710410857 |
| MARIE ALEXIA MUSSMAN | PA-C | 1952071102 |
| SAGE THOMAS STUART | PA-C | 1144963471 |
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.