Russell Jeriah Prentice, DC

NPI #1518955947 in Jenks, Oklahoma

Provider Information

NPI Number
1518955947
Entity Type
Individual
Name
Russell Jeriah Prentice, DC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
DC
Enumeration Date
Oct 10, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
9428 S ELWOOD AVE
Address 2
SUITE 102
City
Jenks
ZIP Code
74037-2317
Phone
(918) 296-0525

Specialties & Taxonomy Codes

Specialty
Chiropractor

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