Doctor Name: | RONALD J RUSSELL |
NPI Number: | 1811107550 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 3730 |
Business Practice Address: | 2109 W Huntsville Ave Springdale, AR - 727622833 |
Business Phone Number: | 4797517771 |
Business Fax Number: | |
Mailing Address: | 1635 Pasatiempo Dr, Apt 201, SPRINGDALE |
State: | AR |
Postal Code: | 72762 |
Phone Number: | 4792831796 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 08/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3730 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |