Individual
RUSSELL PATRICK CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10404
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504837
—
NV
Enumeration date
08/11/2005
Last updated
06/19/2024
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