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Stephanie Russell, PA
Medical Physician Assistant in Tulsa, Oklahoma
NPI 1235199118

Stephanie Russell is a Medical Physician Assistant based in Tulsa, OK and is specialized in Medical. Stephanie Russell practices in Tulsa, OK and has the professional credentials of PA. The NPI Number for Stephanie Russell is 1235199118 and holds a License No. 932 (Oklahoma).

The current practice location address for Stephanie Russell is 8115 S Memorial Dr, Tulsa, OK and can be reached out via phone at 918-254-6315 and via fax at 918-403-6315. You can also correspond with Stephanie Russell through the mailing address at 8115 S MEMORIAL DR, TULSA, OK - 74133-4331 (mailing address contact number: 918-254-6315).

Location: 8115 S Memorial Dr, Tulsa, OK, 74133-4331
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Provider Profile Details
NPI Number
1235199118
Provider Name
Stephanie Russell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
8115 S Memorial Dr, Tulsa, OK, 74133-4331
Phone Number
918-254-6315
Fax Number
918-403-6315
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100740390A 05 OK
institution
Provider Business Practice Location Address Details
Address
8115 S Memorial Dr
City
State
Zip
74133-4331
Phone Number
918-254-6315
Fax Number
918-403-6315
person
Provider Business Mailing Address Details
Address
8115 S Memorial Dr
City
State
Zip
74133-4331
Phone Number
918-254-6315
Fax Number
918-403-6315
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
932 (Oklahoma)
Definition
Definition to come...
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