Bryan C Russell

NPI 1336193119 - Chiropractor - 111N00000X

NPI Details
NPI 1336193119
Enumeration Date 05/19/2006
Last Updated 12/07/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRYAN C BRYAN
Position OWNER
Phone (856) 983-4499
Fax (856) 983-0435
Practice Location
12000 LINCOLN DR W
SUITE 304
MARLTON NJ, 08053-3402, US
Phone (856) 983-4499
Fax (856) 983-0435
Business Location
12000 LINCOLN DR W
SUITE 304
MARLTON NJ, 08053-3402, US
Phone (856) 983-4499
Fax (856) 983-0435
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Bryan C Russell NPI is 1336193119, taxonomy code is 111N00000X Bryan C Russell physically located at 12000 Lincoln Dr W, Marlton NJ, 08053-3402. NPI Number 1033115704 has the healthcare provider type.

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1336193119 NPI number is provided on an as is basis without warranty of any kind. 1336193119 is maintained by the National Plan & Provider Enumeration System. The contents of Bryan C Russell are for informational purposes only.