Organization · Type 2 NPI

ST Mary's Physician Services LLC

General Practice Physician · Russellville, AR

NPI number 1124084991 Active

Practice location

101 Skyline Dr
Russellville, AR 72801-3363

Call (479) 968-2345 Map

Fax (479) 890-2497

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

45 other providers at this address

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About NPI 1124084991

ST Mary's Physician Services LLC's National Provider Identifier is 1124084991, issued on Apr 21, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Russellville, AR. The record was last updated on Sep 26, 2024.