Individual
DR. SCOTT C RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4321 WASHINGTON ST, SUITE 3000, KANSAS CITY, MO 64111-5961
(816) 932-3100
(816) 932-6863
Mailing address
4321 WASHINGTON ST, SUITE 3000, KANSAS CITY, MO 64111-5961
(816) 932-3100
(816) 932-6863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007024413
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206233900
—
MO
Enumeration date
04/26/2006
Last updated
03/10/2011
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