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1659353480
PHILLIP G RUSSELL
STILLWATER, OK
NPI
1659353480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OK 12288)
Enumeration Date
2005-11-17
Last Update Date
2020-08-25
Business Address
PHILLIP G RUSSELL M.D.
4721 W 6TH AVE STE 130
STILLWATER, OK 74074-1549
Phone number: 405-743-0550
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Mailing Address
PHILLIP G RUSSELL M.D.
4721 W 6TH AVE STE 130
STILLWATER, OK 74074-1549
Phone number: 405-743-0550
Copy
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