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1023097904
RUSSELL C CANTRELL
SAINT LOUIS, MO
NPI
1023097904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MO 103654)
Enumeration Date
2006-01-10
Last Update Date
2017-02-06
Business Address
Dr. RUSSELL C CANTRELL M.D.
1001 S. KIRKWOOD ROAD SUITE 120
SAINT LOUIS, MO 63122-7250
Phone number: 314-966-8887
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Mailing Address
Dr. RUSSELL C CANTRELL M.D.
PO BOX 843857
KANSAS CITY, MO 64184-3857
Phone number: 314-966-8887
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