Dr. Russell Howard Marks, M.D.
Psychiatry & Neurology, Forensic Psychiatry in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1144478751
StatusActive
Last updated in NPPESSep 8, 2008
Details
- NPI
- 1144478751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Russell Howard Marks
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2008
- Last updated
- Sep 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology, Forensic Psychiatry | G39655 | CA | Yes |
Practice location
851 Murray AveSan Luis Obispo, CA 93405-1736
Phone 805-541-9327
Mailing address
851 Murray AveSan Luis Obispo, CA 93405-1736
Phone 805-541-9327
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