RUSSELL E TACKETT MDPC
Urology at Prospect Ave, Kansas City, MO

License number
Missouri R6B18
Category
Radiology
Type
Urology
Owner
Name: DR. RUSSELL EDWARD TACKETT MD
Title: PRESIDENT
Phone: (816) 361-0277
Address
Address
6400 Prospect Ave SUITE 440, Kansas City, MO 64132
National Provider ID: 1043359722
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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