Individual
DR. RUSSELL T DIRKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
929 E MONTCLAIR ST, SUITE 100, SPRINGFIELD, MO 65807-5068
(417) 883-1881
(417) 883-4844
Mailing address
929 E MONTCLAIR ST, SUITE 100, SPRINGFIELD, MO 65807-5068
(417) 883-1881
(417) 883-4844
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
695
MO
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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