Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRENT K RUSSELL, M.D.
ActiveDR. TRENT K RUSSELL, M.D. is a Pediatrics healthcare provider located in OSAGE BEACH, Missouri. NPI 1134115744 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · OSAGE BEACH, MO
Registration Details
- NPI Number
- 1134115744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2005 (20.932612121633 yrs)
- Last Updated
- May 5, 2008
- License
-
107627 (MO)
Practice Information
- Address
-
1057 MEDICAL PARK DRSUITE AOSAGE BEACH, MO, 650653050Browse MO providers · Browse ZIP 65065
- Phone
- 5733482745
- Fax
- 5733488279
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in OSAGE BEACH, MO
| Name | Credential | NPI |
|---|---|---|
| DR. MARIA E. BERNABE | M.D. | 1235138330 |
| DR. GEETHA G. HERATH | MD | 1730104183 |
| KRISTEN ANNE THEOBALD-HAZEL | DO | 1932201837 |
| DR. WHITNEY L. CLINE | DO | 1275670101 |
| KIMBER GUINN | DO | 1962853986 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.