Russell R Slaugh Od an Optometric Corporation
NPI #1245517804 in Yucca Valley, California
Provider Information
- NPI Number
- 1245517804
- Entity Type
- Organization
- Organization Name
- Russell R Slaugh Od an Optometric Corporation
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 10, 2011
- Last Updated
- Jun 20, 2018
Practice Location
- Address
- 56970 YUCCA TRL
- Address 2
- STE 101
- City
- Yucca Valley
- State
- California
- ZIP Code
- 92284-7910
- Phone
- (760) 228-2020
Authorized Official
- Name
- RUSSELL R SLAUGH, O.D.
- Title
- OPTOMETRIST
- Phone
- (760) 228-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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