Individual
ROBERT SAGE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3962
(405) 752-3963
Mailing address
1000 NE 13TH ST # 1G, OKLAHOMA CITY, OK 73104-5040
(405) 271-3445
(856) 326-2177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37087
OK
Other
Enumeration date
04/05/2018
Last updated
08/21/2023
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