Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL CLARK
Active Sole ProprietorMR. RUSSELL CLARK is a General Acute Care Hospital healthcare provider located in BEAUMONT, California. NPI 1952554420 is currently active in the NPPES registry. Verify at CMS.
General Acute Care Hospital · BEAUMONT, CA
Registration Details
- NPI Number
- 1952554420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2008 (17.832941150373 yrs)
- Last Updated
- Oct 28, 2008
- License
-
515669CA (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1412 LIATRIS WAYBEAUMONT, CA, 922238468Browse CA providers · Browse ZIP 92223
- Phone
- 9517691241
- Primary Specialty
-
General Acute Care Hospital
282N00000X
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.