Individual
DR. RUSSELL ALLEN FOULK
Active
Individual
DR. RUSSELL ALLEN FOULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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