MR. Russell Clark
NPI #1952554420 in Beaumont, California
Provider Information
- NPI Number
- 1952554420
- Entity Type
- Individual
- Name
- MR. Russell Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- Oct 28, 2008
- Last Updated
- Oct 28, 2008
Practice Location
- Address
- 1412 LIATRIS WAY
- City
- Beaumont
- State
- California
- ZIP Code
- 92223-8468
- Phone
- (951) 769-1241
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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