Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL WAYNE JEFFERSON, DO
Active Sole ProprietorDR. RUSSELL WAYNE JEFFERSON, DO is a General Practice healthcare provider located in CLINTON, Oklahoma. NPI 1073041299 is currently active in the NPPES registry. Verify at CMS.
General Practice · CLINTON, OK
Registration Details
- NPI Number
- 1073041299
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2017 (9.2212864162507 yrs)
- Last Updated
- Jul 21, 2022
- License
-
6428 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 S 11TH STCLINTON, OK, 736014303Browse OK providers · Browse ZIP 73601
- Phone
- 5808190082
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.