Individual
DR. RUSSELL THYRL SWAIN III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11590 BLACK FOREST RD, SUITE 20, COLORADO SPRINGS, CO 80908-6000
(719) 494-0900
(719) 494-0901
Mailing address
11590 BLACK FOREST RD, SUITE 20, COLORADO SPRINGS, CO 80908-6000
(719) 494-0900
(719) 494-0901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5636
CO
111N00000X
Chiropractor
CH7244
FL
Other
Enumeration date
01/26/2006
Last updated
07/09/2007
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