Individual
DR. RUSSELL JEROME CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
402 GALAXIE DR., HARRISONVILLE, MO 64701-2135
(816) 809-2005
Mailing address
1007 W WASHINGTON ST, HARRISONVILLE, MO 64701-2135
(816) 809-2005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004024
MO
Other
Enumeration date
11/30/2012
Last updated
07/25/2014
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