Individual
DR. RUSSELL STEWART YOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2600 RUNNING HORSE ROAD, PLATTE CITY, MO 64079-9761
(816) 858-2200
(816) 858-3611
Mailing address
9411 N OAK TRFY, SUITE LL1, KANSAS CITY, MO 64155-2262
(816) 436-7072
(816) 436-2743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3J21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080147120
RAILROAD MEDICARE
—
01
—
14730013
BCBS OF KC INDIVIDUAL #
—
05
—
242638203
—
MO
Enumeration date
01/31/2006
Last updated
09/01/2016
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