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Russell D Wouters

  • Male

Medical Specialty

Professional ID

  • NPI: 1093047391
  • PECOS ID: 6002034618
  • Enrollment ID: I20140822002271
  • Credential(MD, DO, DPM):
  • Medical School: Life Chiropractic College
  • Medical School Graduation Year: 2009

Medical Practices

  • Organization Name: Mesa Family Chiropractic, Pc
  • Group Practice ID assigned by PECOS: 3173708161
  • Number of Group Practice member: 2

Location

  • Address1: 701 E Main St
  • Address2: Suite D
  • City: Montrose
  • State: Colorado
  • Zip Code: 81401
  • Phone Number: (970)249-4213

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):