Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL CLARK, AUD
ActiveDR. RUSSELL CLARK, AUD is a Audiologist healthcare provider located in EAGLE, Idaho. NPI 1538692249 is currently active in the NPPES registry. Verify at CMS.
Audiologist · EAGLE, ID
Registration Details
- NPI Number
- 1538692249
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2017 (9.3080881543031 yrs)
- Last Updated
- Mar 1, 2018
- License
-
AUD-1526 (ID)
Practice Information
- Address
-
3101 E STATE ST STE 2108EAGLE, ID, 836166232Browse ID providers · Browse ZIP 83616
- Phone
- 2083853480
- Fax
- 2083853481
- Primary Specialty
-
Audiologist
231H00000X
Other Audiologist Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID ERIC MORLEDGE | PHD | 1316974702 |
| DR. ABRAM PAUL VORE | AUD | 1891095097 |
| JESSICA ANN CLARK | AU.D. | 1457606832 |
| MS. CATIE ARDEAN CONRAD | — | 1730648502 |
| STORMY M KLEFFNER | AU.D. | 1013582501 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.