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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT J RUSS, S.T.S.A.

Active Sole Proprietor

ROBERT J RUSS, S.T.S.A. is a Medical Laboratory Technician healthcare provider located in LAKESIDE, Arizona. NPI 1851610554 is currently active in the NPPES registry. Verify at CMS.

Medical Laboratory Technician · LAKESIDE, AZ

Registration Details

NPI Number
1851610554
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2010 (16.267240226282 yrs)
Last Updated
May 20, 2010
Sole Proprietor
Yes

Practice Information

Address
420 W BILLY CREEK DR
LAKESIDE, AZ, 859296830
Browse AZ providers · Browse ZIP 85929
Phone
9283698117
Primary Specialty
Medical Laboratory Technician
246ZS0410X
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.