Individual
JAMES RUSSELL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
953 E 23RD ST, LAWRENCE, KS 66046-4913
(785) 838-4357
Mailing address
953 E 23RD ST, LAWRENCE, KS 66046-4913
(785) 838-4357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
014523
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060472
BLUE CROSS BLUE SHIELD
KS
01
—
431909778
COMMERCIAL INSURANCE
KS
Enumeration date
06/13/2006
Last updated
07/09/2007
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