RUSSELL E TACKETT

KANSAS CITY, MO
NPI1821172768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: MO  R6B18)
Enumeration Date2006-10-25
Last Update Date2007-09-07
Business Address
-- RUSSELL E TACKETT MD
6400 PROSPECT AVE SUITE440
KANSAS CITY, MO 64132-1100
Phone number: 816-361-0277
Mailing Address
-- RUSSELL E TACKETT MD
6400 PROSPECT AVE SUITE440
KANSAS CITY, MO 64132-1100
Phone number: 816-361-0277
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