Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal L Russo, PA

Individual provider Physician Assistant · NPI 1902094584

Crystal L Russo, PA is a Physician Assistant in Bismarck, North Dakota. Licensed in North Dakota. Registered with an NPI since 2007.

Licensed in
ND
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone: (701) 530-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0582 (ND)

Record details

NPI number1902094584
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 9, 2007
Last updated in NPPESJuly 22, 2016
Mailing addressPo Box 997, Bismarck, ND 58502-0997

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