David L. Russell, O.D.
NPI #1578564522 in Kansas City, Kansas
Provider Information
- NPI Number
- 1578564522
- Entity Type
- Individual
- Name
- David L. Russell, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Aug 2, 2005
- Last Updated
- Nov 5, 2011
Practice Location
- Address
- 1218 NORTH 79TH STREET
- City
- Kansas City
- State
- Kansas
- ZIP Code
- 66112-3308
- Phone
- (913) 788-3234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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