Individual
RUSSELL THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
305 THORNBROOKE DR, ROGERSVILLE, MO 65742-8737
(417) 894-7052
Mailing address
305 THORNBROOKE DR, ROGERSVILLE, MO 65742-8737
(417) 894-7052
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2008034225
MO
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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