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Organization

J RUSSELL WOMBLE PLLC

Active
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Organization

J RUSSELL WOMBLE PLLC

Active
Other names
JOE RUSSELL WOMBLE MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOE RUSSELL WOMBLE MD (OWNER)
(405) 515-1000
Entity
Organization

Contact information

Practice address
3300 HEALTHPLEX PKWY, NORMAN, OK 73072-9749
(405) 515-1000
Mailing address
1515 TOWER DR, MOORE, OK 73160-6181
(405) 310-0836
(405) 758-5354

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25035
OK
208M00000X
Hospitalist Physician
Primary
25035
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043351661
INDIVIDUAL NPI
OK
01
—
11973917
CAQH
—
01
—
6134624
CIGNA
OK
01
—
9402354
AETNA
OK
Enumeration date
07/21/2009
Last updated
04/01/2026
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