person
Dr. Russell Wayne Jefferson, DO
General Practice Physician in Clinton, Oklahoma
NPI 1073041299

Russell Wayne Jefferson is a General Practice Physician based in Clinton, OK. Russell Wayne Jefferson practices in Clinton, OK and has the professional credentials of DO. The NPI Number for Russell Wayne Jefferson is 1073041299 and holds a License No. (Oklahoma).

The current practice location address for Russell Wayne Jefferson is 501 S 11Th St, Clinton, OK and can be reached out via phone at 580-819-0082. You can also correspond with Russell Wayne Jefferson through the mailing address at 501 S 11TH ST, CLINTON, OK - 73601-4303 (mailing address contact number: 580-819-0082).

Location: 501 S 11Th St, Clinton, OK, 73601-4303
person
Provider Profile Details
NPI Number
1073041299
Provider Name
Russell Wayne Jefferson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
501 S 11Th St, Clinton, OK, 73601-4303
Phone Number
580-819-0082
Fax Number
Provider Enumeration Date
06/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 S 11Th St
City
State
Zip
73601-4303
Phone Number
580-819-0082
Fax Number
person
Provider Business Mailing Address Details
Address
501 S 11Th St
City
State
Zip
73601-4303
Phone Number
580-819-0082
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
6428 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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