Individual provider · Type 1 NPI
Russ F. Fasolino, DC
Chiropractor · Steamboat Springs, CO
Practice location
320 Oak Street
Steamboat Springs, CO 80477
Fax (970) 870-3076
Mailing address
PO Box 772583, 320 Oak Street
Steamboat Springs, CO 80477-2583
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2475 (CO) |
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 1174528749
Russ F. Fasolino, DC's National Provider Identifier is 1174528749, issued on Jun 20, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Steamboat Springs, CO. The record was last updated on Nov 9, 2007.