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Jon Russe

NPI 1235054321 · on the registry since 2026

Practice

Address
4591 Borrego Springs Way
Las Vegas, NV 89129
Phone
(619) 592-0085
Fax
(619) 592-0085

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-10

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