Christopher Thomas Russell in Cape Girardeau - Diagnostic Radiology
Christopher Thomas Russell - NPI 1902812613
Christopher Thomas Russell is a Diagnostic Radiology in Cape Girardeau, Missouri. Christopher Thomas Russell practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Christopher Thomas Russell is 1902812613. The last update date is 2021-04-29.
Christopher Thomas Russell's current location address is 70 Doctors Park, Cape Girardeau, Missouri. You can contact this provider via phone number 5733346071 and fax number 5733344739. The mailing address for Christopher Thomas Russell is 70 Doctors Park, Cape Girardeau, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Thomas Russell |
|---|---|
| Address | 70 Doctors Park, Cape Girardeau, Missouri |
| Phone Number | 5733346071 |
| Fax Number | 5733344739 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902812613 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2021-04-29 |
Provider Mailing Address Detail
| Address | 70 Doctors Park |
|---|---|
| City | Cape Girardeau |
| State | Missouri (MO) |
| Post Code | 637034928 |
| Phone Number | 5733346071 |
| Fax Number | 5733344739 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 2005014833 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 430954380CAP | MERCY HEALTH PLAN | ||
| 185214 | MO | MO BLUE CROSS BLUE SHIELD | |
| 716349 | HEALTHLINK | ||
| 207361304 | MO | -- | |
| 036-113584 | IL | IL BLUE CROSS BLUE SHIELD | |
| 63896 | HEALTH ALLIANCE |
Post Comment/ Review Below
Can you provide the Christopher Thomas Russell's physical address?
The Christopher Thomas Russell is physically located at 70 Doctors Park, in the city of Cape Girardeau, MO, with the postal code 637034928.
What is the Christopher Thomas Russell's area of specialization and corresponding taxonomy classification?
The Christopher Thomas Russell's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
On what date did the Christopher Thomas Russell receive its 1902812613 assignment from the Centers for Medicare & Medicaid Services?
The Christopher Thomas Russell was assigned its 1902812613 by the Centers for Medicare & Medicaid Services on 2006-08-01.
As of what date were the Christopher Thomas Russell's details last updated?
The information pertaining to the Christopher Thomas Russell, including its address, specialty, and other details, was most recently updated on 2021-04-29.
As of what date were the details related to Christopher Thomas Russell most recently updated or revised?
The information pertaining to Christopher Thomas Russell, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-29.