Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY LYNN RUSSELL, DPM
ActivePodiatrist · WATONGA, OK
Registration Details
- NPI Number
- 1942309034
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.57902733424 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PO2966 (FL)
Practice Information
- Address
-
RR 1 BOX 34-AWATONGA, OK, 737729706Browse OK providers · Browse ZIP 73772
- Phone
- 5806234991
- Fax
- 5806235490
- Primary Specialty
-
Podiatrist
213E00000X
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.