Individual
NICHOLAS BRYAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1810 SWAMP PIKE # 100, GILBERTSVILLE, PA 19525-9307
(610) 327-3363
Mailing address
1027 INGRAMS WAY, TELFORD, PA 18969-1379
(267) 281-0665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011597
PA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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