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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRYAN RUSSELL

Active Sole Proprietor

BRYAN RUSSELL is a Peer Specialist healthcare provider located in GROVE, Oklahoma. NPI 1750820569 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · GROVE, OK

Registration Details

NPI Number
1750820569
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2017 (9.4803926795402 yrs)
Last Updated
Feb 14, 2017
Sole Proprietor
Yes

Practice Information

Address
32300 S 625 RD
GROVE, OK, 743446285
Browse OK providers · Browse ZIP 74344
Phone
9187862930
Fax
9187865985
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in GROVE, OK

Name Credential NPI
JAMES WIKEL 1679964605
MEGAN WILMERING 1518334689
KEITH COCKLE 1376908962
AMBER ARNOLD 1437503497
APRIL BROCK 1801321575
MRS. JOANNA FRANCES WHITMIRE 1851808117
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.