Mark Thomas Russell
ActiveCalifornia license A109063
License
- Licensed by
- Medical Board of California
- License number
- A109063
- Status
- Active (Current)
- First issued
- July 31, 2009
- Expires
- July 31, 2027
- License holder
- Mark Thomas Russell
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Simi Valley Hosp Emerg Dept
2975 Sycamore Dr
Simi Valley, CA 93065
2975 Sycamore Dr
Simi Valley, CA 93065
Ventura County