Individual
RUSSELL MARTIN MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12310 N DIVISION, 105, SPOKANE, WA 99218
(509) 466-1117
(509) 464-0578
Mailing address
12310 N DIVISION, 105, SPOKANE, WA 99218
(509) 466-1117
(509) 464-0578
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH33968
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024917
—
WA
Enumeration date
10/23/2006
Last updated
10/03/2012
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