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
State
Florida
ZIP Code
32127
Phone
(386) 767-2727

Specialties & Taxonomy Codes

Specialty
Chiropractor

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