Individual
RUSSELL MUIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., ATC
Contact information
Practice address
3600 WORKMAN MILL RD, WHITTIER, CA 90601
(562) 463-7407
Mailing address
633 N YALE AVE, FULLERTON, CA 92831-2739
(562) 212-3079
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
07/25/2018
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