Individual
GARRETT ANDREW RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 N DENVER AVE, TULSA, OK 74103-1806
(918) 582-1200
(918) 560-1399
Mailing address
777 N SILVER SPRINGS BLVD APT 404, WICHITA, KS 67212-6004
(918) 638-8377
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/27/2019
Last updated
07/25/2019
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