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Contact Information

ROBERT B RUSSELL, DO
1701 LACEY ST
CAPE GIRARDEAU, MO63701-5230
 Phone: 573-335-0185
 Fax: 573-335-0793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ROBERT B RUSSELL · (Male)

NPI # 1992814966
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/30/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MO License # R6D82
  • Other 178715 HEALTHLINK
  • MO Other 105181 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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