Individual
DR. DEREK DUNCAN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2125 MCCOMAS WAY, SUITE 101, VIRGINIA BEACH, VA 23456-3986
(757) 427-7690
(757) 427-7692
Mailing address
2125 MCCOMAS WAY, SUITE 101, VIRGINIA BEACH, VA 23456-3986
(757) 427-7690
(757) 427-7692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555920
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175426
BLUE CROSS BLUE SHIELD
VA
Enumeration date
11/24/2006
Last updated
07/30/2007
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