Individual
DR. DOMINIC A RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1265 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4004
(330) 758-9400
(330) 726-8676
Mailing address
1265 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4004
(330) 758-9400
(330) 726-8676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2330
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460246
—
OH
Enumeration date
07/19/2005
Last updated
05/17/2011
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