SearchAlabama237700000X

Logan Russo, BC-HIS

NPI 1154282754 · on the registry since 2025 · sole proprietor

Practice

Address
8726 Ramsey Dr
Theodore, AL 36582
Phone
(732) 503-2347

Registry record

Primary taxonomy
237700000X
237700000X
Also registered as
237700000X
Licence states on file
MS, AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-21

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 Alabama