SearchOklahomaOther Specialist/Technologist

Jacob Russell

NPI 1942540398 · on the registry since 2013

Practice

Address
320 12th Ave Ne
Norman, OK 73071
Phone
(405) 573-3842
Organisation at this address
Childrens' Recovery Center Of Oklahoma
Childrens' Recovery Center Of Oklahoma
Childrens' Recovery Center Of Oklahoma
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
Other Specialist/Technologist
246Z00000X
Sex
Male
Record last updated
2013-02-21

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