Joni S Russell O.D.

NPI 1073592002 - Optometrist - 152W00000X

NPI Details
NPI 1073592002
Gender Female
Enumeration Date 01/10/2006
Last Updated 11/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
202 N MAIN
GORE OK, 74435, US
Phone (918) 489-5921
Fax (918) 489-5921
Business Location
202 N MAIN
GORE OK, 74435, US
Phone (918) 489-5921
Fax (918) 489-5921
Toxanomy
Taxonomy Code 152W00000X
License State Oklahoma
License Number 2470
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According to our database, Dr. Joni S Russell O.D. NPI is 1073592002, taxonomy code is 152W00000X and license number is 2470, license state is located at Oklahoma. Joni S Russell O.D. physically located at 202 N Main, Gore OK, 74435. NPI Number Joni S Russell O.D. has the Individual type.

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1073592002 NPI number is provided on an as is basis without warranty of any kind. 1073592002 is maintained by the National Plan & Provider Enumeration System. The contents of Joni S Russell O.D. are for informational purposes only.