Organization · Type 2 NPI
Russellville Gynecology Clinic
Gynecology Physician · Russellville, AR
NPI number
1164412243
Active
Practice location
914 W B St
Russellville, AR 72801-3502
Fax (479) 968-6908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | C4687 (AR) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
About NPI 1164412243
Russellville Gynecology Clinic's National Provider Identifier is 1164412243, issued on Oct 28, 2005. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Russellville, AR. The record was last updated on Aug 22, 2020.