JOSHUA ALLAN RUSSELL

MUSKOGEE, OK
NPI1801637244
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OK  3277)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-31
Last Update Date2024-07-23
Business Address
JOSHUA ALLAN RUSSELL OD
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1318
Phone number: 888-397-8387
Mailing Address
JOSHUA ALLAN RUSSELL OD
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1318
Phone number: 888-397-8387