Individual
DR. RUSSELL WAYNE COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3714 S 132ND ST, OMAHA, NE 68144-3608
(402) 891-6289
Mailing address
3714 S 132ND ST, OMAHA, NE 68144-3608
(402) 891-6289
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1201
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470825186-00
—
NE
Enumeration date
08/17/2006
Last updated
07/08/2007
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