DR. RUSSELL CLARK, AUD

Audiologist

Active Individual
NPI: 1538692249

Practice Address

3101 E STATE ST STE 2108
Eagle, ID 83616

Phone: (208) 385-3480

Specialties

Specialty Code Primary License
Audiologist 231H00000X Yes AUD-1526 (ID)

Frequently Asked Questions

NPI 1538692249 is the National Provider Identifier for DR. RUSSELL CLARK, AUD, a Audiologist provider located in Eagle, ID. This NPI was enumerated on April 10, 2017.
DR. RUSSELL CLARK, AUD practices at 3101 E STATE ST STE 2108, Eagle, ID 83616.

Quick Facts

NPI
1538692249
Type
Individual
Enumerated
Apr 10, 2017
Last Updated
Mar 1, 2018

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