Jim Russell, PH.D

NPI 1275711459 · on the registry since 2008 · sole proprietor

Practice

Address: 777 Craig Rd Ste 200
Saint Louis, MO 63141
Phone: (314) 963-8862
Fax: (314) 918-8943
Organisation at this address: L Peter Zhang Md Llc
Harold D. Wolff, Inc
Ideal Special Services Llc
Clinical Medical Services Llc
Elite Mens Health Of St Louis
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-10-22

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