Individual
DR. RUSSELL HOWARD MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
851 MURRAY AVE, SAN LUIS OBISPO, CA 93405-1736
(805) 541-9327
Mailing address
851 MURRAY AVE, SAN LUIS OBISPO, CA 93405-1736
(805) 541-9327
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
G39655
CA
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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