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

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

Practice location Address checks out

420 W Billy Creek Dr
Lakeside, AZ 85929-6830
Phone: (928) 369-8117
Show map & directions

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
Mailing address420 W Billy Creek Dr, Lakeside, AZ 85929-6830