Individual
DR. GEORGE WILLIAM RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2011 W BROADWAY AVE, SULPHUR, OK 73086-4221
(580) 622-4482
Mailing address
PO BOX 1109, SULPHUR, OK 73086-8109
(580) 622-4482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6245
OK
Other
Enumeration date
03/11/2017
Last updated
09/12/2025
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