Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renee J Russell MD Inc

Organization Family Medicine Physician · NPI 1316092182

Renee J Russell MD Inc provides Family Medicine Physician services in Grove, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 E 13th St Ste 104
Grove, OK 74344-2975
Phone: (918) 786-3100
Fax: (918) 786-3108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22021 (OK)

Record details

NPI number1316092182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Russell — Provider · (918) 786-3100
Other names Grand Lake Primary Care
NPI enumeratedJanuary 24, 2007
Last updated in NPPESNovember 11, 2016
Mailing address1110 Neo Loop, Grove, OK 74344-6046

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