Organization
RUSSELL FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA RUSSELL D.C. (PRESIDENT)
(970) 482-2053
Entity
Organization
Contact information
Practice address
200 S MASON ST, FORT COLLINS, CO 80524-2813
(970) 482-2053
Mailing address
200 S MASON ST, FORT COLLINS, CO 80524-2813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6198
CO
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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