Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert J Russ, STSA

Individual provider Surgical Technologist · NPI 1851610554

Robert J Russ, STSA is a Surgical Technologist in Lakeside, Arizona. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
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Practice location Address checks out

420 W Billy Creek Dr
Lakeside, AZ 85929-6830
Phone: (928) 369-8117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X

Record details

NPI number1851610554
Entity typeIndividual (Type 1)
GenderMale
Credentials STSA
Sole proprietorYes
NPI enumeratedMay 20, 2010
Last updated in NPPESMay 20, 2010