DR. RUSSELL LEROY CLOUSE DC NPI 1134122765

NPI Information

NPI: 1134122765
Provider Name: DR. RUSSELL LEROY CLOUSE, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
437 S GILBERT RD
STE 14
MESA, AZ
ZIP 85204
Phone: (480) 834-9000
Get Directions

DR. Russell Leroy Clouse, DC is a chiropractor in Mesa, AZ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Russell Leroy Clouse, DC NPI is 1134122765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

437 S GILBERT RD
STE 14
MESA, AZ
ZIP 85204-866
Phone: (480) 834-9000
Fax: (480) 834-1880

The enumeration date for this NPI number is 5/27/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		4560	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AZ5450	MEDICARE UPIN	ARIZONA
2	DC4560	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	PINAL COUNTY
3	Z81526	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	MARICOPA COUNTY
4	AZ0943720	MEDICARE UPIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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