Individual
DR. RUSSELL DALE GILSTRAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3900 S 113TH WEST AVE, SAND SPRINGS, OK 74063-2724
(918) 241-3901
(918) 241-3902
Mailing address
3900 S 113TH WEST AVE, SAND SPRINGS, OK 74063-2724
(918) 241-3901
(918) 241-3902
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2449
OK
363LF0000X
Family Nurse Practitioner
97265
OK
Other
Enumeration date
10/25/2006
Last updated
01/13/2012
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