Phyllis S Russo is a Neurology in Chesterfield, Missouri. Phyllis S Russo practices all healthcare services and medical treatments related to Neurology. The NPI Number for Phyllis S Russo is 1750330767. The last update date is 2007-07-08.
Phyllis S Russo's current location address is 14377 Woodlake Dr, Chesterfield, Missouri. You can contact this provider via phone number 3148788999 and fax number 3148788915. The mailing address for Phyllis S Russo is 14377 Woodlake Dr, Chesterfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis S Russo |
|---|---|
| Address | 14377 Woodlake Dr, Chesterfield, Missouri |
| Phone Number | 3148788999 |
| Fax Number | 3148788915 |
| Sole Proprietor | X |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1750330767 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14377 Woodlake Dr |
|---|---|
| City | Chesterfield |
| State | Missouri (MO) |
| Post Code | 630175735 |
| Phone Number | 3148788999 |
| Fax Number | 3148788915 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 111Nn0400X |
| Licence No | 6107 |
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Definition: Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the |
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Post Comment/ Review Below
What is the unique identifier code issued to Phyllis S Russo by the Centers for Medicare & Medicaid Services?
The Phyllis S Russo has been assigned the NPI (National Provider Identifier) 1750330767. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Phyllis S Russo?
The Phyllis S Russo is situated at 14377 Woodlake Dr, in the city of Chesterfield, state of MO, with the zip code 630175735.
What is the Phyllis S Russo's specialty and taxonomy code?
The Phyllis S Russo's specialty is Neurology, and the corresponding taxonomy code is 111Nn0400X.
On what date did the Phyllis S Russo receive the assignment of its 1750330767 from the Centers for Medicare & Medicaid Services?
The Phyllis S Russo was issued its 1750330767 by the Centers for Medicare & Medicaid Services on 2006-05-08.
When was the information regarding Phyllis S Russo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Phyllis S Russo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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