Jason D Russell, DC
NPI #1215113089 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1215113089
- Entity Type
- Individual
- Name
- Jason D Russell, DC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- DC
- Enumeration Date
- Jan 11, 2008
- Last Updated
- Jan 11, 2008
Practice Location
- Address
- 1114 W COOK RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46825-3214
- Phone
- (260) 483-5588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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