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Organization

J RUSSELL WOMBLE PLLC

Active
Other names
JOE RUSSELL WOMBLE MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOE RUSSELL WOMBLE MD (OWNER)
(405) 515-1000
Entity
Organization

Contact information

Practice address
3300 HEALTHPLEX PKWY, NORMAN, OK 73072-9749
(405) 515-1000
Mailing address
1515 TOWER DR, MOORE, OK 73160-6181
(405) 310-0836
(405) 758-5354

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25035
OK
208M00000X
Hospitalist Physician
Primary
25035
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043351661
INDIVIDUAL NPI
OK
01
11973917
CAQH
01
6134624
CIGNA
OK
01
9402354
AETNA
OK
Enumeration date
07/21/2009
Last updated
04/01/2026
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