COLLIN RUSSELL

SAINT LOUIS, MO
NPI1730686189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2023025223)
Enumeration Date2018-04-11
Last Update Date2024-05-28
Business Address
COLLIN RUSSELL MD
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-977-1928
Mailing Address
COLLIN RUSSELL MD
3691 RUTGER ST RM 137
SAINT LOUIS, MO 63110-2515
Phone number:
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