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Individual
ROBERT BLAINE RUSSELL
Active
Individual
ROBERT BLAINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R6D82
MO
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
R6D82
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
R6D82
MO
Other
Enumeration date
08/30/2006
Last updated
09/11/2025
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