Individual
ADAM JEFFREY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 884-6393
(573) 884-4533
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 884-6393
(573) 884-4533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021022417
MO
Other
Enumeration date
06/17/2021
Last updated
06/13/2024
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