Individual
DR. RUSS G. UTTECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9710 YATES ST, OMAHA, NE 68134-5662
(402) 556-9836
Mailing address
9710 YATES ST, OMAHA, NE 68134-5662
(402) 556-9836
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1235
NE
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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