Individual
DR. DAVID STANTON RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2113 WILSHIRE DR, ENID, OK 73703-6622
(580) 233-2136
(580) 237-5965
Mailing address
2113 WILSHIRE DR, ENID, OK 73703-6622
(580) 233-2136
(580) 237-5965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8135
OK
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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