Individual
DR. RUSSELL LEON HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
33 E BROADWAY, STE. 290, COLUMBIA, MO 65203-4207
(573) 449-0794
(573) 443-7333
Mailing address
33 E BROADWAY, STE. 290, COLUMBIA, MO 65203-4207
(573) 449-0794
(573) 443-7333
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
010659
MO
Other
Enumeration date
11/06/2006
Last updated
07/09/2007
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