DR. Trent K Russell, M.D.
NPI #1134115744 in Osage Beach, Missouri
Provider Information
- NPI Number
- 1134115744
- Entity Type
- Individual
- Name
- DR. Trent K Russell, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- M.D.
- Enumeration Date
- Sep 20, 2005
- Last Updated
- May 5, 2008
Practice Location
- Address
- 1057 MEDICAL PARK DR
- Address 2
- SUITE A
- City
- Osage Beach
- State
- Missouri
- ZIP Code
- 65065-3050
- Phone
- (573) 348-2745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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