Jacob Russell is a Other Specialist/Technologist based in Norman, OK. Jacob Russell practices in Norman, OK. The NPI Number for Jacob Russell is 1942540398 and holds a License No. (Oklahoma).
The current practice location address for Jacob Russell is 320 12Th Ave Ne, Norman, OK and can be reached out via phone at 405-573-3842.
Location: 320 12Th Ave Ne, Norman, OK, 73069-4828
Provider Profile Details
NPI Number
1942540398
Provider Name
Jacob Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
320 12Th Ave Ne, Norman, OK, 73069-4828
Phone Number
405-573-3842
Fax Number
Provider Enumeration Date
02/21/2013
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
320 12Th Ave Ne
City
State
Zip
73071-5238
Phone Number
405-573-3842
Fax Number
Provider Business Mailing Address Details
Address
320 12Th Ave Ne
City
State
Zip
73071-5238
Phone Number
405-573-3842
Fax Number
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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