Individual
DR. TRACY OWEN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2523 SE WASHINGTON BLVD., BARTLESVILLE, OK 74006-8338
(918) 333-3363
(918) 333-5539
Mailing address
2523 SE WASHINGTON BLVD., BARTLESVILLE, OK 74006-8338
(918) 333-3363
(918) 333-5539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3166
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF3888
PALMETTO#
OK
Enumeration date
11/16/2006
Last updated
07/09/2024
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