Provider Demographics
NPI:1073027330
Name:SELLERS, RUSSELL WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:RUSSELL
Middle Name:WILLIAM
Last Name:SELLERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 S CLINTON ST STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3353
Mailing Address - Country:US
Mailing Address - Phone:303-790-6000
Mailing Address - Fax:303-790-9175
Practice Address - Street 1:7100 S CLINTON ST STE 110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3353
Practice Address - Country:US
Practice Address - Phone:303-790-6000
Practice Address - Fax:303-790-9175
Is Sole Proprietor?:No
Enumeration Date:2017-11-24
Last Update Date:2017-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007688111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor