Individual
MR. RUSSELL N ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20825 SOUTH ST, SUITE A, TEHACHAPI, CA 93561-6438
(661) 205-5373
(661) 823-7483
Mailing address
20825 SOUTH ST, SUITE A, TEHACHAPI, CA 93561-6438
(661) 205-5373
(661) 823-7483
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
20106
CA
111NI0013X
Independent Medical Examiner Chiropractor
B-866
NV
Other
Enumeration date
07/05/2007
Last updated
12/07/2009
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