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1275549115
RUSSELL W. ENGEVIK
ESCONDIDO, CA
NPI
1275549115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G56460)
Enumeration Date
2006-07-31
Last Update Date
2011-08-12
Business Address
-- RUSSELL W. ENGEVIK M.D.
555 E VALLEY PKWY
ESCONDIDO, CA 92025-3048
Phone number: 760-739-3300
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Mailing Address
-- RUSSELL W. ENGEVIK M.D.
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2777
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