MARK RUSSELL

VICTORVILLE, CA
NPI1639137540
Former NameSEYED-MEHRDAD ALERASSOUL
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: CA  A144701)
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CA  A144701)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY  229134)
207R00000X Internal Medicine
(Licence: NY  229134)
Enumeration Date2006-05-02
Last Update Date2020-07-08
Business Address
Dr. MARK RUSSELL M.D.
13024 HESPERIA RD STE 103
VICTORVILLE, CA 92395-8303
Phone number: 760-241-3547
Mailing Address
Dr. MARK RUSSELL M.D.
12223 HIGHLAND AVE # 106-536
RANCHO CUCAMONGA, CA 91739-2574
Phone number: 760-241-3547