Dr ANTHONY L RUSSO MD is a male medical professional, specializing in Emergency Medicine. He graduated in 1991 from Medical College Of Wisconsin.
NORTH IDAHO DAY SURGERY LLC
750 N SYRINGA ST
SUITE 100
POST FALLS
ID
838545275
Tel: 2082622600
| Npi | 1144213455 |
| Pac Id | 8426004276 |
| Professional Enrollment Id | I20100603000269 |
| Last Name | RUSSO |
| First Name | ANTHONY |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
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| Organization Legal Name | NORTH IDAHO DAY SURGERY LLC |
| Group Practice Pac Id | 0840101218 |
| Number Of Group Practice Members | 23 |
| Line 1 Street Address | 750 N SYRINGA ST |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | POST FALLS |
| State | ID |
| Zip Code | 838545275 |
| Phone Number | 2082622600 |
| Hospital Affiliation Ccn 1 | 130066 |
| Hospital Affiliation Lbn 1 | NORTHWEST SPECIALTY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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