Russell Patrick Clark, MD
Emergency Medicine in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1790787497
StatusActive
Last updated in NPPESJun 19, 2024
Details
- NPI
- 1790787497
- Entity type
- Individual (NPI-1)
- Name
- Russell Patrick Clark
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2005
- Certification date
- Jun 19, 2024
- Last updated
- Jun 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 10404 | NV | Yes |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
Mailing address
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
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