Dr Larry J Russell INC

NPI #1225388044 in Crawfordsville, Indiana

Provider Information

NPI Number
1225388044
Entity Type
Organization
Organization Name
Dr Larry J Russell INC
Primary Specialty
Clinic/Center
Enumeration Date
Sep 19, 2012
Last Updated
Sep 19, 2012

Practice Location

Address
406 E SOUTH BLVD
State
Indiana
ZIP Code
47933-3762
Phone
(765) 362-1111

Authorized Official

Name
DR. LARRY J RUSSELL, DC
Title
PRESIDENT
Phone
(765) 362-1111

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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