Organization
ELITE SPINE AND SPORT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN RUSSELL DC (PRESIDENT)
(856) 983-4499
Entity
Organization
Contact information
Practice address
651 ROUTE 73 N STE 304, MARLTON, NJ 08053-3446
(856) 983-4499
(856) 983-0435
Mailing address
651 ROUTE 73 N STE 304, MARLTON, NJ 08053-3446
(856) 983-4499
(856) 983-0435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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