Amanda Dean Russell, PA-C

NPI #1033703954 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1033703954
Entity Type: Individual
Name: Amanda Dean Russell, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 22, 2021
Last Updated: May 7, 2025

Practice Location

Address: 921 NE 13TH ST
City: Oklahoma City
State: Oklahoma
ZIP Code: 73104-5007
Phone: (405) 456-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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