Russell Wellness Clinic

NPI #1104010537 in Bartlesville, Oklahoma

Provider Information

NPI Number: 1104010537
Entity Type: Organization
Organization Name: Russell Wellness Clinic
Primary Specialty: Chiropractor
Enumeration Date: Aug 29, 2007
Last Updated: Aug 10, 2011

Practice Location

Address: 2523 SE WASHINGTON BLVD.
City: Bartlesville
State: Oklahoma
ZIP Code: 74006-8336
Phone: (918) 333-3363

Authorized Official

Name: DR. TRACY OWEN RUSSELL, DC
Title: OWNER
Phone: (918) 333-3363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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