Russell, Mark Thomas

Russell, Mark Thomas is an individual health care provider with primary practice located at 1600 N Rose Ave , Oxnard CA 93030-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Russell, Mark Thomas can be contacted via phone (805) 989-2663.

Contact Information

Primary practice address
1600 N Rose Ave Oxnard CA 93030-3722
Phone: (805) 989-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A109063 California

Profile Details

NPI number 1457555864
LBN Legal business name Russell, Mark Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Nov 19th, 2013 - about 13 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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