Dr. Trent K Russell
M.D. | Pediatrics | Male
Dr. Trent K Russell, M.D. is a Osage Beach, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Trent K Russell is
1057 Medical Park Dr, Suite A, Osage Beach, Missouri - 65065-3050. He can be contacted on phone at
573-348-2745 and fax number 573-348-8279.
Dr. Trent K Russell is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Trent K Russell is
1134115744 which was assigned by NPPES on 20 Sep, 2005 and it was last updated on 05 May, 2008.
Dr. Trent K Russell license number is
107627 for Pediatrics (208000000X) in Missouri.
Dr. Trent K Russell is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Trent K Russell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Trent K Russell |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Trent K Russell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1057 Medical Park Dr, Suite A
Osage Beach, MO, 65065-3050
United States |
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| Phone Number : | 573-348-2745 |
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| Fax Number : | 573-348-8279 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134115744 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2005 |
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| Last Updated On : | 05 May, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Trent K Russell are as mentioned. Primary taxonomy code for Dr. Trent K Russell, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 107627 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Trent K Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 370013633 | Other | MO | RAILROAD MEDICARE |
| 208072900 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 54 Hospital Dr
Osage Beach, MO, 65065-3050
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Trent K Russell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.