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Contact Information

RUSSELL D RADICAN, DC
6100 PRIMACY PKWY
SUITE 105
MEMPHIS, TN38119-0705
 Phone: 901-682-5335
 Fax: 901-682-5440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

111NX0100X 35 Chiropractic
 

Orthopedic

111NX0800X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for RUSSELL D RADICAN · (Male)

NPI # 1528172368
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/18/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • TN License # DC1171
  • TN Other 5829049 AETNA HMO
  • TN Other 3009201 BLUECROSSBLUESHIELD
  • TN Other 61387800-03 CIGNA
  • TN Other 61387800-04 CIGNA HMO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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