RUSSELL, GREGORY ALAN - Licensee Information

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

RUSSELL, GREGORY ALAN

Practice Address:	ST. ANTHONY FAMILY PRACTICE RESIDENCY 608 NORTHWEST 9TH STREET #1000 OKLAHOMA CITY OK 73102 Address last updated on 9/15/2003
Phone #:	(405) 272-7494
Fax #:	(405) 271-6985
County:	OKLAHOMA
License:	23007
Dated:	9/15/2003
Expires:	9/1/2005
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of South Fl Coll Of Med, Tampa Fl 33612
Graduated:	5 / 2002
CME Year:	2006

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:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna HMO Aetna PPO BlueChoice PPO BlueLincs HMO HealthChoice PacifiCare of Oklahoma, Inc Prudential Health Care Plan, Inc UniCare Health Plans of Oklahoma United Healthcare HMO United Healthcare Options PPO
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
ST. ANTHONY FAMILY PRACTICE RESIDENCY 608 NORTHWEST 9TH STREET #1000 OKLAHOMA CITY OK 73102 Phone #: (405) 272-7494 Fax #: (405) 271-6985	Mon: 7:00AM - 6:00PM Tue: 7:00AM - 6:00PM Wed: 7:00AM - 6:00PM Thu: 7:00AM - 6:00PM Fri: 7:00AM - 6:00PM