DR. Russell Thomas Roselle, CHIROPRACTOR DC

NPI #1427117415 in Fairfax, Virginia

Provider Information

NPI Number: 1427117415
Entity Type: Individual
Name: DR. Russell Thomas Roselle, CHIROPRACTOR DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: CHIROPRACTOR DC
Enumeration Date: Dec 6, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 8500 EXECUTIVE PARK AVENUE
Address 2: #300
City: Fairfax
State: Virginia
ZIP Code: 22031-4647
Phone: (703) 698-7117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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