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Search › California › Physician Assistant

Peter Russo, PA

NPI 1588729941 · on the registry since 2006

Practice

Address
2545 W Hammer Ln
Stockton, CA 95209
Phone
(209) 957-7050
Organisation at this address
Sutter Gould Medical Foundation
Sutter Valley Medical Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Surgical Physician Assistant
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-10

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 California