Organization
ADVANCED SPINE & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER A RUSSELL DC (PARTNER)
(435) 656-0234
Entity
Organization
Contact information
Practice address
619 S BLUFF ST, TOWER 1 STE 400, ST GEORGE, UT 84770-3853
(435) 656-0234
(435) 656-2622
Mailing address
619 S BLUFF ST, TOWER 1 STE 400, ST GEORGE, UT 84770-3853
(435) 656-0234
(435) 656-2622
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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