Russell Shannon Humphries, DC
NPI #1497769210 in Port Orange, Florida
Provider Information
- NPI Number
- 1497769210
- Entity Type
- Individual
- Name
- Russell Shannon Humphries, DC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- DC
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4343 RIDGEWOOD AVENUE
- Address 2
- SUITE B
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32127
- Phone
- (386) 767-2727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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