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Sean Russick, PA-C
Military Health Care Provider in Oceanside, California
NPI 1801356043

Sean Russick is a Military Health Care Provider based in Oceanside, CA. Sean Russick practices in Oceanside, CA and has the professional credentials of PA-C. The NPI Number for Sean Russick is 1801356043 and holds a License No. (California).

The current practice location address for Sean Russick is 200 Mercy Circle, Oceanside, CA and can be reached out via phone at 760-725-7029.

Location: 200 Mercy Circle, Oceanside, CA, 92058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801356043
Provider Name
Sean Russick
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
200 Mercy Circle, Oceanside, CA, 92058
Phone Number
760-725-7029
Fax Number
Provider Enumeration Date
03/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Mercy Circle
City
Oceanside
State
California
Zip
92058
Phone Number
760-725-7029
Fax Number
person
Provider Business Mailing Address Details
Address
200 Mercy Circle
City
Oceanside
State
California
Zip
92058
Phone Number
760-725-7029
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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