Austin Tyler Russow
Austin Tyler Russow is a Peer Specialist in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
152 Burton PlEdmond, OK 73013-4408
Phone: (417) 356-5761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1235089392 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2026 |
| Last updated in NPPES | January 29, 2026 |
| Certification date | January 29, 2026 |
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