Dr. Christopher Thomas Russell, MD
Radiology, Diagnostic Radiology in Cape Girardeau, MO. Individual provider (NPI-1).
NPI number1902812613
StatusActive
Last updated in NPPESApr 29, 2021
Details
- NPI
- 1902812613
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christopher Thomas Russell
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Certification date
- Apr 29, 2021
- Last updated
- Apr 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 2005014833 | MO | Yes |
Practice location
70 Doctors ParkCape Girardeau, MO 63703-4928
Phone 573-334-6071 · Fax 573-334-4739
Mailing address
70 Doctors ParkCape Girardeau, MO 63703-4928
Phone 573-334-6071 · Fax 573-334-4739
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