Individual
DR. RUSSELL JAMES FRISILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
710 N ELM AVE, SUITE A, BROKEN ARROW, OK 74012-2574
(918) 251-9975
(918) 251-9259
Mailing address
710 N ELM AVE, SUITE A, BROKEN ARROW, OK 74012-2574
(918) 251-9975
(918) 251-9259
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OK3296
OK
Other
Enumeration date
11/06/2006
Last updated
12/18/2019
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