Individual
REBEKAH OLAOLUWA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T0529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10064038
PHYSICIAN IN TRAINING
TX
Enumeration date
03/26/2018
Last updated
12/08/2023
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