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Individual

DR. RUSSELL EARL MCDANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3301 N RANGE LINE RD, JOPLIN, MO 64801-9765
(417) 206-2225
(417) 206-2227
Mailing address
3301 N RANGE LINE RD, JOPLIN, MO 64801-9765
(417) 206-2225
(417) 206-2227

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4863
KS
111N00000X
Chiropractor
Primary
6433
MO
111NN1001X
Nutrition Chiropractor
6433
MO
111NP0017X
Pediatric Chiropractor
6433
MO
111NS0005X
Sports Physician Chiropractor
6433
MO
171100000X
Acupuncturist
6433
MO

Other

Enumeration date
07/27/2006
Last updated
07/19/2024
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