Individual
DR. RUSS F. FASOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
320 OAK STREET, STEAMBOAT SPRINGS, CO 80477
(970) 870-8888
(970) 870-3076
Mailing address
PO BOX 772583, 320 OAK STREET, STEAMBOAT SPRINGS, CO 80477-2583
(970) 870-8888
(970) 870-3076
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2475
CO
Other
Enumeration date
06/20/2005
Last updated
11/09/2007
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