Individual
DR. RUSSELL LEROY CLOUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
437 S GILBERT RD, STE 14, MESA, AZ 85204-2866
(480) 834-9000
(480) 834-1880
Mailing address
437 S GILBERT RD, STE 14, MESA, AZ 85204-2866
(480) 834-9000
(480) 834-1880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4560
AZ
Other
Enumeration date
05/27/2005
Last updated
07/09/2007
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