Individual
DR. RUSSELL THOMAS TERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D,
Contact information
Practice address
4677 VALLEY EAST BLVD, SUITE 2, ARCATA, CA 95521-4630
(707) 822-9122
Mailing address
4677 VALLEY EAST BLVD, SUITE 2, ARCATA, CA 95521-4630
(707) 822-9122
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2015
CA
237600000X
Audiologist-Hearing Aid Fitter
AU2015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU8800
—
AK
Enumeration date
07/14/2006
Last updated
03/23/2011
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