Renee J Russell Md Inc in Grove - Family Medicine

Renee J Russell Md Inc - NPI 1316092182

Renee J Russell Md Inc is a Family Medicine in Grove, Oklahoma. Renee J Russell Md Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Renee J Russell Md Inc is 1316092182. The last update date is 2016-11-11.

Renee J Russell Md Inc's current location address is 1110 Neo Loop, Grove, Oklahoma. You can contact this provider via phone number 9187863100 and fax number 9187863108. The mailing address for Renee J Russell Md Inc is 1110 Neo Loop, Grove, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Renee J Russell Md Inc
Address 1110 Neo Loop, Grove, Oklahoma
Phone Number 9187863100
Fax Number 9187863108
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROVIDER
Authorized Official Name Russell Jean Renee
Credentials M.D.
Telephone Number 9187863100

NPI Number Detail

NPI Number 1316092182
Provider Enumeration Date 2007-01-24
Last Updated Date 2016-11-11

Provider Mailing Address Detail

Address 1110 Neo Loop
City Grove
State Oklahoma (OK)
Post Code 743446046
Phone Number 9187863100
Fax Number 9187863108

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 22021
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100017290D OK --

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FAQs about Renee J Russell Md Inc

What is the unique 10-digit identification code assigned to Renee J Russell Md Inc by the Centers for Medicare & Medicaid Services?

The Renee J Russell Md Inc has been issued the NPI (National Provider Identifier) 1316092182, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Renee J Russell Md Inc's physical address?

The Renee J Russell Md Inc is physically located at 1110 Neo Loop, in the city of Grove, OK, with the postal code 743446046.

What is Renee J Russell Md Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Renee J Russell Md Inc's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did Renee J Russell Md Inc receive its 1316092182 assignment from the Centers for Medicare & Medicaid Services?

The Renee J Russell Md Inc was assigned its 1316092182 on 2007-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Renee J Russell Md Inc's details last updated?

The information pertaining to the Renee J Russell Md Inc, including its address, specialty, and other details, was most recently updated on 2016-11-11.

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