Russell Clay Cantrell M.D.

NPI 1023097904 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1023097904
Gender Male
Enumeration Date 01/10/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1001 S KIRKWOOD RD
SUITE 120
SAINT LOUIS MO, 63122-7254, US
Phone (314) 966-8887
Fax (314) 966-3869
Business Location
1300 LOG CABIN LN
SAINT LOUIS MO, 63124-1530, US
Phone
Fax
Toxanomy
Taxonomy Code 208100000X
License State Missouri
License Number 103654
Remove 1023097904 NPI Number
 

According to our database, Dr. Russell Clay Cantrell M.D. NPI is 1023097904, taxonomy code is 208100000X and license number is 103654, license state is located at Missouri. Russell Clay Cantrell M.D. physically located at 1001 S Kirkwood Rd, Saint Louis MO, 63122-7254. NPI Number Russell Clay Cantrell M.D. has the Individual type.

Sponsored links

1023097904 NPI number is provided on an as is basis without warranty of any kind. 1023097904 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Clay Cantrell M.D. are for informational purposes only.