NPI 1225142409

Russell T Dirksen, DPM

Practitioner Foot Surgery Podiatrist Springfield, MO

Practice location

Address: 929 E Montclair St Suite 100, Springfield, MO 65807-5068
Phone: (417) 883-1881
Fax: (417) 883-4844

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 695 (MO)

Other Podiatrist providers in Missouri →

Registry record

NPI: 1225142409
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2006
Record last updated: 8 Jul 2007

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.