Bryan Russell
Bryan Russell is a Peer Specialist in Grove, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
32300 S 625 RdGrove, OK 74344-6285
Phone: (918) 786-2930
Fax: (918) 786-5985
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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 | 1750820569 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 14, 2017 |
| Last updated in NPPES | February 14, 2017 |
| Mailing address | Po Box 451585, Grove, OK 74345-1585 |
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