| Phillip G Russell, MD | |
|
4721 W 6th Ave Ste 130, Stillwater, OK 74074-1549 | |
| (405) 743-0550 | |
| Not Available |
| Full Name | Phillip G Russell |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 4721 W 6th Ave Ste 130, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659353480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 12288 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip G Russell, MD 4721 W 6th Ave Ste 130, Stillwater, OK 74074-1549 Ph: (405) 743-0550 | Phillip G Russell, MD 4721 W 6th Ave Ste 130, Stillwater, OK 74074-1549 Ph: (405) 743-0550 |
James A. Waltermire, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1301 W 6th Ave, Suite 202, Stillwater, OK 74074 Phone: 405-743-0550 Fax: 405-743-1704 | |
Charles Raymond Horner Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4721 W 6th Ave Ste 130, Stillwater, OK 74074 Phone: 405-743-0550 | |
James D Bullen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 816 S Walnut St, Stillwater, OK 74074 Phone: 405-743-0550 Fax: 405-743-1704 |