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RUSSELL, REX DANIEL       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 7409 DOWNING
FORT SMITH AR 72903

Address last updated on 10/3/2008
Phone #: (479) 452-4890
Fax #:
County: NOT OKLAHOMA
License: 10410
Dated: 12/7/1974
Expires: 1/29/2009
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 6 / 1967
CME Year: 2009
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
7409 DOWNING
FORT SMITH AR 72903

Phone #: (479) 452-4890
Fax #:

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