Individual
DEXTER RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 CERRILLOS RD, SUITE 407, SANTA FE, NM 87507-2612
(505) 424-8990
Mailing address
3600 CERRILLOS RD, SUITE 407, SANTA FE, NM 87507
(505) 424-8990
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
0017
NM
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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