Individual
DR. RUSSELL BRUCE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3441 24TH AVE NW STE 105, NORMAN, OK 73069-6716
(405) 321-2929
(405) 366-8701
Mailing address
3441 24TH AVE NW STE 105, NORMAN, OK 73069-6716
(140) 532-1292
(405) 366-8701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15169
OK
207VX0000X
Obstetrics Physician
Primary
15169
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100147560A
—
OK
Enumeration date
08/03/2006
Last updated
06/14/2022
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