| NPI | 1659455517 |
|---|---|
| Professional Name | RUSSELL DALE GILSTRAP |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 2449) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 97265) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-01-13 |