person
Briana Russom, PA-C
Medical Physician Assistant in Rockford, Illinois
NPI 1558661702

Briana Russom is a Medical Physician Assistant based in Milwaukee, IL and is specialized in Medical. Briana Russom practices in Rockford, IL and has the professional credentials of PA-C. The NPI Number for Briana Russom is 1558661702 and holds a License No. 085003897 (Illinois).

The current practice location address for Briana Russom is 2473 Mcfarland Rd, Rockford, IL and can be reached out via phone at 779-696-9202.

Location: 2473 Mcfarland Rd, Rockford, IL, 53278-8866
person
Provider Profile Details
NPI Number
1558661702
Provider Name
Briana Russom
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2473 Mcfarland Rd, Rockford, IL, 53278-8866
Phone Number
779-696-9202
Fax Number
Provider Enumeration Date
10/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2473 Mcfarland Rd
City
State
Zip
61107
Phone Number
779-696-9202
Fax Number
person
Provider Business Mailing Address Details
Address
2473 Mcfarland Rd
City
State
Zip
61107
Phone Number
779-696-9202
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085003897 (Illinois)
Definition
Definition to come...
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