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RUSSELL CLARK, AUD
AUD
NPI: 1538692249IndividualAccepts Medicare
Specialties, Licenses & Credentials
AudiologistPrimary
Audiologist
Code: 231H00000X
AUD-1526(ID)
CMS Specialties
PrimaryQUALIFIED AUDIOLOGIST
Education
OTHER
Class of 2011
Contact & Hours
- Address
- 3101 E STATE ST STE 2108
EAGLE, ID 83616 - Phone
- (208) 385-3480
Quick Facts
- NPI
- 1538692249
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 15
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