Individual
DR. WILLIAM DOUGLAS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2820 MISSOURI AVE, SAINT LOUIS, MO 63118-1641
(314) 773-1255
(314) 821-9889
Mailing address
2820 MISSOURI AVE, SAINT LOUIS, MO 63118-1641
(314) 773-1255
(314) 821-9889
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
005402
MO
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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