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Individual
DR. RUSSELL R. BOND JR.
Active
Individual
DR. RUSSELL R. BOND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R1E45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242110831
—
MO
01
—
5048
BLUE CROSS MO
—
Enumeration date
08/21/2006
Last updated
12/31/2015
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