Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renee J Russell MD Inc

Organization Family Medicine Physician · NPI 1316092182

Renee J Russell MD Inc is a Family Medicine Physician in Grove, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 E 13th St Ste 104
Grove, OK 74344-2975
Phone: (918) 786-3100
Fax: (918) 786-3108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22021 (OK)

Record details

NPI number1316092182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Russell — Provider · (918) 786-3100
Other names Grand Lake Primary Care
NPI enumeratedJanuary 24, 2007
Last updated in NPPESNovember 11, 2016
Mailing address1110 Neo Loop, Grove, OK 74344-6046

Other providers in Grove