Individual
RONALD J RUSSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2109 W HUNTSVILLE AVE, SPRINGDALE, AR 72762-2833
(479) 751-7771
Mailing address
1635 PASATIEMPO DR, APT 201, SPRINGDALE, AR 72762
(479) 283-1796
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1712
AR
111N00000X
Chiropractor
3730
NC
Other
Enumeration date
05/23/2007
Last updated
08/19/2007
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