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Individual

DR. RUSSELL S. TAGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1045 JADWIN AVE STE B1, RICHLAND, WA 99352-3400
(509) 943-0695
Mailing address
1045 JADWIN AVE STE B1, RICHLAND, WA 99352-3400
(509) 943-0695

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002726
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36086
DEPT OF LABOR AND INDUSTR
WA
Enumeration date
01/03/2007
Last updated
07/08/2007
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