Individual
NICHOLAS TYLER RUSSENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS
Contact information
Practice address
1003 US HIGHWAY 64, BUFFALO, OK 73834-8912
(580) 735-2555
(580) 735-2574
Mailing address
PO BOX 677, BUFFALO, OK 73834-0677
(501) 215-1468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5175
OK
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us