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NPI Code Detail

MEDICARE: DR. RUSSELL PAUL HOLLINGER D.C.

MEDICARE: DR. RUSSELL PAUL HOLLINGER D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorB00766NV

General Provider Information

NPI Number : 1972642593
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUSSELL PAUL HOLLINGER D.C.
Provider Business Mailing Address
First Line : 6180 MAE ANNE AVE
Second Line : STE 1
City : RENO
State : NV
Zip : 89523-4708
Country : US
Telephone Number : 775-324-4008
Fax Number : 775-324-4006
Provider Business Practice Location Address
First Line : 6180 MAE ANNE AVE
Second Line : STE 1
City : RENO
State : NV
Zip : 89523-4708
Country : US
Telephone Number : 775-324-4008
Fax Number : 775-324-4006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 01/28/2016

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