Renee J Russell MD INC

NPI #1316092182 in Grove, Oklahoma

Provider Information

NPI Number: 1316092182
Entity Type: Organization
Organization Name: Renee J Russell MD INC
Primary Specialty: Family Medicine
Enumeration Date: Jan 24, 2007
Last Updated: Nov 11, 2016

Practice Location

Address: 900 E 13TH ST
Address 2: SUITE 104
City: Grove
State: Oklahoma
ZIP Code: 74344-2975
Phone: (918) 786-3100

Authorized Official

Name: DR. RENEE JEAN RUSSELL, M.D.
Title: PROVIDER
Phone: (918) 786-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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