Whalio Doctors

NPI 1023097904

Russell C Cantrell, MD

Practitioner Physical Medicine & Rehabilitation Physician Saint Louis, MO

Practice location

Address
1001 S. Kirkwood Road Suite 120, Saint Louis, MO 63122-7250
Phone
(314) 966-8887
Fax
(314) 966-3869
Mailing address
PO Box 843857, Kansas City, MO 64184-3857

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 103654 (MO)

Registry record

NPI
1023097904
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jan 2006
Record last updated
6 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.