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Russell Eaves, PT

NPI 1588871248 · on the registry since 2007

Practice

Address
224 S Woods Mill Rd
Suite 610 South
Chesterfield, MO 63017
Phone
(314) 205-6551
Fax
(314) 576-2371
Organisation at this address
Oasl 2 Llc
C Care Llc
Ji Huang Llc
Ron Javdan Md Llc
Kenneth G Selke Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address
132

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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