Dr. Russell C Cantrell
Physical Medicine & Rehabilitation Doctor
1001 S. Kirkwood Road Suite 120
Saint Louis
, Missouri 63122-7250
Dr. Russell C Cantrell
Physical Medicine & Rehabilitation Doctor
1001 S. Kirkwood Road Suite 120
Saint Louis
, Missouri 63122-7250
(314) 966-3869
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Russell C Cantrell
- Po Box 843857
- Kansas City, MO
- Zip : 64184-3857
- Fax : (314) 966-3869
- Phone : (314) 966-8887
Second Address
- Dr. Russell C Cantrell
- 1001 S. Kirkwood Road Suite 120
- Saint Louis, MO
- Zip : 63122-7250
- Fax : (314) 966-3869
- Phone : (314) 966-8887
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 103654 | MO |
National Provider Identifier
| NPI | 1023097904 |
|---|---|
| Provider Name | Dr. Russell C Cantrell |
| First Address | Kansas City, MO 64184-3857 |
| Second Address | Saint Louis, MO 63122-7250 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2006 |
| Last Update Date | 06/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0425207002 | CIGNA (01) | MO |
| 18346 | BLUE CROSS BLUE SHIELD (01) | MO |
| 227927 | HEALTHLINK (01) | MO |
| 2300015 | UNITED HEALTH CARE (01) | MO |
| 4486251 | AETNA (01) | MO |
| 49861 | GREAT WEST (01) | MO |
| F57139 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.