Russell, Mark

Russell, Mark is an individual health care provider with primary practice located at 13024 Hesperia Rd Ste 103 , Victorville CA 92395-8303. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Russell, Mark can be contacted via phone (760) 241-3547.

Contact Information

Primary practice address
13024 Hesperia Rd Ste 103 Victorville CA 92395-8303
Phone: (760) 241-3547
Fax: (760) 241-3562
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A144701 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 229134 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A144701 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 229134 New York

Profile Details

NPI number 1639137540
LBN Legal business name Russell, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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