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Mary Russo, DO
Emergency Medicine Physician in Pueblo, Colorado
NPI 1023421864

Mary Russo is a Emergency Medicine Physician based in Pueblo, CO. Mary Russo practices in Pueblo, CO and has the professional credentials of DO. The NPI Number for Mary Russo is 1023421864 and holds a License No. 5101021285 (Colorado).

The current practice location address for Mary Russo is 400 W 16Th St, Pueblo, CO and can be reached out via phone at 719-584-4306 and via fax at 719-595-7886.

Location: 400 W 16Th St, Pueblo, CO, 81003-2745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023421864
Provider Name
Mary Russo
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
400 W 16Th St, Pueblo, CO, 81003-2745
Phone Number
719-584-4306
Fax Number
719-595-7886
Provider Enumeration Date
06/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 W 16Th St
City
Pueblo
State
Colorado
Zip
81003-2745
Phone Number
719-584-4306
Fax Number
719-595-7886
person
Provider Business Mailing Address Details
Address
400 W 16Th St
City
Pueblo
State
Colorado
Zip
81003-2745
Phone Number
719-584-4306
Fax Number
719-595-7886
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
5101021285 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5101021285 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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