Russell Craig Click, M.D.
Family Medicine in Shawnee, OK. Individual provider (NPI-1).
NPI number1144397571
StatusActive
Last updated in NPPESMar 25, 2010
Details
- NPI
- 1144397571
- Entity type
- Individual (NPI-1)
- Name
- Russell Craig Click
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Mar 25, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 24597 | OK | Yes |
Practice location
3204 Medical Park DrShawnee, OK 74804-5014
Phone 405-878-6800 · Fax 405-878-6831
Mailing address
3204 Medical Park DrShawnee, OK 74804-5014
Phone 405-878-6800 · Fax 405-878-6831
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