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Organization
RUSSEL PARDOE, M.D., INC.
Active
Organization
RUSSEL PARDOE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSEL PARDOE M.D. (OWNER)
(707) 445-3075
Entity
Organization
Contact information
Practice address
2752 HARRISON AVE, SUITE A, EUREKA, CA 95501-4738
(707) 445-3075
(707) 445-3076
Mailing address
2752 HARRISON AVE, SUITE A, EUREKA, CA 95501-4738
(707) 445-3075
(707) 445-3076
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093660
—
CA
Enumeration date
05/08/2007
Last updated
08/26/2008
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