# JAMES RUSSELL, M.D, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578786950
- **Authorized official:** DR. JAMES RUSSELL M.D. (PRESIDENT)
- **Authorized official phone:** (918) 224-3081

## Contact information

- **Practice address:** 308 S MAIN ST, SAPULPA, OK 74066-4110
- **Practice address phone:** (918) 224-3081
- **Practice address fax:** (918) 224-5059
- **Mailing address:** 308 S MAIN ST, SAPULPA, OK 74066-4110
- **Mailing address phone:** (918) 224-3081
- **Mailing address fax:** (918) 224-5059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13810 | OK | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 06/08/2010