Simone Russo

NPI 1134294259 · on the registry since 2006 · sole proprietor

Practice

Address: 2900 E Desert Inn Rd
Suite 108
Las Vegas, NV 89121
Phone: (702) 369-2628
Fax: (702) 792-4328
Organisation at this address: Southwest Dermatology Institute Ltd
Southwest Skin & Laser Center, Inc.
Martin J. Safko, M.D., A Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada