STEPHANIE RUSSELL

TULSA, OK
NPI1235199118
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  932)
Enumeration Date2006-03-24
Last Update Date2019-05-06
Business Address
STEPHANIE RUSSELL P.A.
8115 S MEMORIAL DR
TULSA, OK 74133-4331
Phone number: 918-254-6315
Mailing Address
STEPHANIE RUSSELL P.A.
8115 S MEMORIAL DR
TULSA, OK 74133-4331
Phone number: 918-254-6315