Mr. Russell Clark
Mr. Russell Clark is a General Acute Care Hospital in Beaumont, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
1412 Liatris WayBeaumont, CA 92223-8468
Phone: (951) 769-1241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Acute Care Hospital (primary) | Taxonomy 282N00000X · Licence 515669CA (CA) |
|---|
Record details
| NPI number | 1952554420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2008 |
| Last updated in NPPES | October 28, 2008 |
| Mailing address | 1412 Liatris Way, Beaumont, CA 92223-8468 |