Individual
DR. JOE RUSSELL WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
25035
OK
208M00000X
Hospitalist Physician
Primary
25035
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11973917
CAQH
—
05
—
200179970A
—
OK
01
—
6134624
CIGNA
OK
01
—
9402354
AETNA
OK
Enumeration date
02/08/2007
Last updated
04/01/2026
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