IndividualActive
William Russell, D.C.
NPI 1619077740 · Sports Physician Chiropractor · Saint Louis, MO
Provider details
- NPI number
- 1619077740
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 005402 (MO)
Specialties & taxonomies
Chiropractic Providers
Practice location
2820 Missouri Ave
Saint Louis, MO 63118-1641
Phone: (314) 773-1255
Fax: (314) 821-9889
Approximate (ZIP-level) locationGet directions
Mailing address
2820 Missouri Ave
Saint Louis, MO 63118-1641
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.