Michael Anthony Russo is a Surgery Physician based in Fountain Valley, CA. Michael Anthony Russo practices in Fountain Valley, CA and has the professional credentials of MD. The NPI Number for Michael Anthony Russo is 1700084381 and holds a License No. Q1013 (California).
The current practice location address for Michael Anthony Russo is 1811 Brookfurst St #5600, Fountain Valley, CA and can be reached out via phone at 714-861-4666 and via fax at 714-861-4682.
Identifier | Type | State | Issuer |
---|---|---|---|
ASO2532199374 | 01 | NV | NV BOARD OF PHARM |
LL1802 | 01 | NV | NV MEDICAL LICENSE |
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