Individual
RUSSELL CHAD MCALVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1919 E MEMORIAL RD, OKLAHOMA CITY, OK 73131-1253
(405) 341-7009
(405) 330-1811
Mailing address
1919 E MEMORIAL RD, OKLAHOMA CITY, OK 73131-1253
(405) 341-7009
(405) 330-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5017469
NC
363L00000X
Nurse Practitioner
5017469
NC
363LF0000X
Family Nurse Practitioner
Primary
216160
OK
Other
Enumeration date
01/24/2023
Last updated
01/17/2024
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