Mark Thomas Russell MD

NPI 1457555864 - Emergency Medicine - 207P00000X

NPI Details
NPI 1457555864
Gender Male
Enumeration Date 06/12/2007
Last Updated 11/19/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 N ROSE AVE
OXNARD CA, 93030-3722, US
Phone (805) 989-2663
Fax
Business Location
1600 N ROSE AVE
OXNARD CA, 93030-3722, US
Phone (805) 989-2663
Fax
Toxanomy
Taxonomy Code 207P00000X
License State California
License Number A109063
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According to our database, Dr. Mark Thomas Russell MD NPI is 1457555864, taxonomy code is 207P00000X and license number is A109063, license state is located at California. Mark Thomas Russell MD physically located at 1600 N Rose Ave, Oxnard CA, 93030-3722. NPI Number Mark Thomas Russell MD has the Individual type.

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1457555864 NPI number is provided on an as is basis without warranty of any kind. 1457555864 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Thomas Russell MD are for informational purposes only.