JOSHUA ALLAN RUSSELL OD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1801637244- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD
- Status
- Active
Contact & Location
- Address
- 2301 10TH AVE, LEAVENWORTH, KS, 660484214
- Phone
- (913) 682-2929
Specialties & Taxonomies
Optometrist
License: OK #3277
Optometrist
License: MO #2025000170
Optometrist
Primary License: KS #2254