Individual
JAMES J TRUSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
110 NW 31ST, 2ND FLOOR, LAWTON, OK 73505
(580) 357-3671
(580) 357-1256
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1663
OK
207XS0106X
Orthopaedic Hand Surgery Physician
1663
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242717903
MEDICARE ID
OK
01
—
P00400273
RAILROAD MEDICARE
OK
Enumeration date
08/05/2006
Last updated
10/21/2013
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