Individual ProviderStuart William RussellChiropractorChiropractic ProvidersPractice Address9108 Laguna Main St Ste 1a, Elk Grove, CA 95758-7450(916) 691-9500(916) 217-0906PECOS EnrollmentBased on the most recent information from CMS, provider Stuart William Russell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:51 AM.Profile DetailsProvider ID1639343841Provider TypeIndividualFull NameRussell, Stuart WilliamCredentialD.C.GenderMaleSole ProprietorYesEnumeration Date4/17/2008Last Updated4/17/2008Contact InformationPractice LocationPractice Address9108 Laguna Main St Ste 1a, Elk Grove, CA 95758-7450Phone(916) 691-9500Fax(916) 691-9503Mailing LocationMailing Address7210 Novato Ct, Elk Grove, CA 95757-3462Phone(916) 217-0906Fax(916) 691-9503Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense14218CaliforniaCode111N00000XDescriptionChiropractorChiropractic ProvidersLicense1635Oregon