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NPI Code Detail

MEDICARE: DR. STEVEN L RUSSELL MD

MEDICARE: DR. STEVEN L RUSSELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianR6C07MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109988021OTHERBCBS KC MO

General Provider Information

NPI Number : 1831182385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN L RUSSELL MD
Provider Business Mailing Address
First Line : PO BOX 11157
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-0157
Country : US
Telephone Number : 913-234-1350
Fax Number : 913-234-1108
Provider Business Practice Location Address
First Line : 2800 CLAY EDWARDS DR
Second Line :
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3220
Country : US
Telephone Number : 816-346-7220
Fax Number : 816-346-7242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 03/25/2008

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Directions to “ DR. STEVEN L RUSSELL MD” Practice Location

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