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Organization

RUSSELL MAXWELL DC PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL STANLEY MAXWELL D.C., P.S. (CHIROPRACTIC)
(360) 647-4438
Entity
Organization

Contact information

Practice address
805 W ORCHARD DR, SUITE 1, BELLINGHAM, WA 98225-1759
(360) 647-4438
(360) 527-8144
Mailing address
805 W ORCHARD DR, SUITE 1, BELLINGHAM, WA 98225-1759
(360) 647-4438
(360) 527-8144

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CH00002961
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2029338
WA
Enumeration date
09/11/2012
Last updated
06/23/2014
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