Organization
JOHN J. RUSSELL, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J RUSSELL M.D. (PRESIDENT)
(573) 335-4209
Entity
Organization
Contact information
Practice address
1435 N MOUNT AUBURN RD, SUITE 200, CAPE GIRARDEAU, MO 63701-2171
(573) 335-4209
(573) 335-5524
Mailing address
1435 N MOUNT AUBURN RD, SUITE 200, CAPE GIRARDEAU, MO 63701-2171
(573) 335-4209
(573) 335-5524
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
100521
MO
208000000X
Pediatrics Physician
Primary
100521
MO
Other
Enumeration date
03/14/2007
Last updated
09/11/2025
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