RUSSELL E TACKETT MDPC

KANSAS CITY, MO
NPI1043359722
Entity TypeOrganization
Authorized ContactRUSSELL EDWARD TACKETT
President
816-361-0277
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: MO  R6B18)
Enumeration Date2007-02-06
Last Update Date2007-09-07
Business Address
RUSSELL E TACKETT MDPC
6400 PROSPECT AVE SUITE 440
KANSAS CITY, MO 64132-1100
Phone number: 816-361-0277
Mailing Address
RUSSELL E TACKETT MDPC
6400 PROSPECT AVE SUITE 440
KANSAS CITY, MO 64132-1100
Phone number: 816-361-0277
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