Catherine Russo, PA-C

NPI 1144006834 · on the registry since 2023

Practice

Address: 4252 S Highland Dr Ste 200
Salt Lake City, UT 84124
Phone: (801) 993-1800
Organisation at this address: Wasatch Periodontal Specialists Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Also registered as: 363A00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-01-23

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 Utah