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Elizabeth Russell
NPI 1063771988 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1 Jefferson Barracks Rd
Saint Louis, MO 63125 - Phone
- (314) 652-4100
- Clinicians at this address
- 85
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri