Russell Clay Ault, MD, PHD Valid NPI
Individual provider · Pediatrics Physician · Philadelphia, PA
- NPI
- 1336887488
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- MT225185 (PA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-05-26
- Last updated
- 2022-05-26
Practice location
3401 Civic Center Blvd, Division Of General Pediatrics
Philadelphia, PA 19104-4319
(215) 590-1220