Russell S Gornichec MD PC
NPI #1871723833 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1871723833
- Entity Type
- Organization
- Organization Name
- Russell S Gornichec MD PC
- Primary Specialty
- Surgery
- Enumeration Date
- Jul 23, 2009
- Last Updated
- Dec 3, 2010
Practice Location
- Address
- 3433 NW 56TH ST
- Address 2
- SUITE 970
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73112-4455
- Phone
- (405) 713-4450
Authorized Official
- Name
- MRS. KIM GORNICHEC
- Title
- OFFICE MANAGER
- Phone
- (405) 713-4450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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