Individual provider · Type 1 NPI

Russell Fowler, DC

Chiropractor · Springfield, MO

NPI number 1124194519 Active

Practice location

1675 E Seminole St, Suite H2
Springfield, MO 65804-2490

Fax (417) 881-4282

Mailing address

PO Box 10182
Springfield, MO 65808-0182

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X7087 (AZ)
Chiropractor 111N00000X20144016190 (MO)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1124194519

Russell Fowler, DC's National Provider Identifier is 1124194519, issued on Nov 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Springfield, MO. The record was last updated on Feb 18, 2016.