Phillip G Russell in Stillwater - Diagnostic Radiology
Phillip G Russell - NPI 1659353480
Phillip G Russell is a Diagnostic Radiology in Stillwater, Oklahoma. Phillip G Russell practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Phillip G Russell is 1659353480. The last update date is 2020-08-25.
Phillip G Russell's current location address is 4721 W 6th Ave Ste 130, Stillwater, Oklahoma. You can contact this provider via phone number 4057430550. The mailing address for Phillip G Russell is 4721 W 6th Ave Ste 130, Stillwater, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip G Russell |
|---|---|
| Address | 4721 W 6th Ave Ste 130, Stillwater, Oklahoma |
| Phone Number | 4057430550 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1659353480 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2020-08-25 |
Provider Mailing Address Detail
| Address | 4721 W 6th Ave Ste 130 |
|---|---|
| City | Stillwater |
| State | Oklahoma (OK) |
| Post Code | 740741549 |
| Phone Number | 4057430550 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 12288 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the Phillip G Russell's 1659353480?
The Phillip G Russell's NPI (National Provider Identifier) Number is 1659353480. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Phillip G Russell is located?
The Phillip G Russell is situated at the following address: 4721 W 6Th Ave Ste 130, Stillwater, OK, 740741549.
What is the Phillip G Russell's specialty and taxonomy code?
The Phillip G Russell's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659353480 to Phillip G Russell?
The Centers for Medicare & Medicaid Services originally issued the 1659353480 to Phillip G Russell on 2005-11-17.
As of what date were the details pertaining to Phillip G Russell last refreshed?
The information related to the Phillip G Russell, including its address, specialty, and other relevant details, was last updated on 2020-08-25.