RUSSELL CLARK

EAGLE, ID
NPI1538692249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: ID  AUD-1526)
Enumeration Date2017-04-10
Last Update Date2018-03-01
Business Address
Dr. RUSSELL CLARK AuD
3101 E STATE ST STE 2108
EAGLE, ID 83616-6232
Phone number: 208-385-3480
Mailing Address
Dr. RUSSELL CLARK AuD
3101 E STATE ST STE 2108
EAGLE, ID 83616-6232
Phone number: 208-385-3480
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