Russell Clark, AUD

Individual Active
NPI 1538692249
Audiologist Eagle, ID

NPI 1538692249 belongs to Russell Clark, AUD, an audiologist with a practice location in Eagle, ID. The NPI was issued on April 10, 2017, and the record was last updated in NPPES on March 1, 2018.

This record hasn't been updated in NPPES since 2018. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist Primary 231H00000X AUD-1526 (ID)

Practice location

3101 E State St Ste 2108
Eagle, ID 83616-6232
Phone: (208) 385-3480

Local context

Active NPPES records list 74 providers with audiologist as the primary taxonomy within 25 miles of this practice location's ZIP code, 58 of them within 10 miles.

The same primary taxonomy is listed by 151 in Idaho and 25,124 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Russell Clark
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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