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RUSSELL, DOUGLAS ALAN       
Practice Address: 214 NW 31ST STREET
OKLAHOMA CITY OK 73118
Phone #:
Fax #:
County: OKLAHOMA
License: 18476
Dated: 7/1/1993
Expires: 6/30/1995
Training Issued: 6/26/1992
Training Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduated: 5 / 1992
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
214 NW 31ST STREET
OKLAHOMA CITY OK 73118

Phone #:
Fax #:

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