Individual
DR. RUSSELL D. RADICAN
Active
Individual
DR. RUSSELL D. RADICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
DC1171
TN
111NX0100X
Occupational Health Chiropractor
Primary
DC1171
TN
111NX0800X
Orthopedic Chiropractor
DC1171
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009201
BLUECROSSBLUESHIELD
TN
01
—
5829049
AETNA HMO
TN
01
—
61387800-03
CIGNA
TN
01
—
61387800-04
CIGNA HMO
TN
Enumeration date
08/18/2006
Last updated
09/11/2025
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