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1194090357
RUSSELL TODD ALLEN
BROOKFIELD, MO
NPI
1194090357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 2013041285)
Enumeration Date
2012-03-20
Last Update Date
2023-04-30
Business Address
RUSSELL TODD ALLEN DO
130 E LOCKLING ST
BROOKFIELD, MO 64628-2337
Phone number: 660-258-2222
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Mailing Address
RUSSELL TODD ALLEN DO
5207 SW RAINTREE PKWY
LEES SUMMIT, MO 64082-4529
Phone number: 785-477-8507
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