Individual
DR. RUSSELL D TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3898 INNOVATION DR, STE B, RIVERTON, UT 84065-6037
(801) 302-0660
(801) 302-2239
Mailing address
3898 INNOVATION DR, STE B, RIVERTON, UT 84065-6037
(801) 302-0660
(801) 302-2239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7719074-1202
UT
Other
Enumeration date
07/13/2010
Last updated
04/05/2011
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