Individual
DR. RUSSELL ALLEN FOULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 SIERRA ROSE DR, SUITE 205, RENO, NV 89511-2060
(775) 828-1200
(775) 828-1785
Mailing address
645 SIERRA ROSE DR, SUITE 205, RENO, NV 89511-2060
(775) 828-1200
(775) 828-1785
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
6333431-1205
UT
207VE0102X
Reproductive Endocrinology Physician
Primary
7698
NV
207VE0102X
Reproductive Endocrinology Physician
G72373
CA
207VE0102X
Reproductive Endocrinology Physician
M-7577
ID
Other
Enumeration date
05/09/2006
Last updated
05/06/2019
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