Individual provider · Type 1 NPI

Jacob Russell

Other Specialist/Technologist · Norman, OK

NPI number 1942540398 Active

Practice location

320 12th Ave NE
Norman, OK 73071-5238

Call (405) 573-3842 Map

Mailing address

1840 W Boyd St
Norman, OK 73069-4828

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

25 other providers at this address

About NPI 1942540398

Jacob Russell's National Provider Identifier is 1942540398, issued on Feb 21, 2013. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Norman, OK. The record was last updated on Feb 21, 2013.