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
- City
- Crawfordsville
- 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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