DR. Russell Leroy Clouse, DC

NPI #1134122765 in Mesa, Arizona

Provider Information

NPI Number: 1134122765
Entity Type: Individual
Name: DR. Russell Leroy Clouse, DC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: May 27, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 437 S GILBERT RD
Address 2: STE 14
City: Mesa
State: Arizona
ZIP Code: 85204-2866
Phone: (480) 834-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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