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Dr. Christopher Thomas Russell, MD
Diagnostic Radiology Physician in Cape Girardeau, Missouri
NPI 1902812613

Christopher Thomas Russell is a Diagnostic Radiology Physician based in Cape Girardeau, MO and is specialized in Diagnostic Radiology. Christopher Thomas Russell practices in Cape Girardeau, MO and has the professional credentials of MD. The NPI Number for Christopher Thomas Russell is 1902812613 and holds a License No. 2005014833 (Missouri).

The current practice location address for Christopher Thomas Russell is 70 Doctors Park, Cape Girardeau, MO and can be reached out via phone at 573-334-6071 and via fax at 573-334-4739.

Location: 70 Doctors Park, Cape Girardeau, MO, 63703-4928
person
Provider Profile Details
NPI Number
1902812613
Provider Name
Christopher Thomas Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
70 Doctors Park, Cape Girardeau, MO, 63703-4928
Phone Number
573-334-6071
Fax Number
573-334-4739
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
430954380CAP 01 MERCY HEALTH PLAN
185214 01 MO MO BLUE CROSS BLUE SHIELD
716349 01 HEALTHLINK
207361304 05 MO
036-113584 01 IL IL BLUE CROSS BLUE SHIELD
063896 01 HEALTH ALLIANCE
institution
Provider Business Practice Location Address Details
Address
70 Doctors Park
City
State
Zip
63703-4928
Phone Number
573-334-6071
Fax Number
573-334-4739
person
Provider Business Mailing Address Details
Address
70 Doctors Park
City
State
Zip
63703-4928
Phone Number
573-334-6071
Fax Number
573-334-4739
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
2005014833 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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