Individual
DR. CHRISTOPHER THOMAS RUSSELL
Active
Individual
DR. CHRISTOPHER THOMAS RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2005014833
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-113584
IL BLUE CROSS BLUE SHIELD
IL
01
—
063896
HEALTH ALLIANCE
—
01
—
185214
MO BLUE CROSS BLUE SHIELD
MO
05
—
207361304
—
MO
01
—
430954380CAP
MERCY HEALTH PLAN
—
01
—
716349
HEALTHLINK
—
Enumeration date
08/01/2006
Last updated
04/29/2021
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