Search › Oklahoma › 183500000X
Charles Russell
NPI 1700486750 · on the registry since 2020 · sole proprietor
Practice
- Address
- 6301 Nw Quannah Parker Trl
Lawton, OK 73505 - Phone
- (580) 510-0357
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma