Organization · Type 2 NPI

Russellville Dermatology Clinic PA

Procedural Dermatology Physician · Russellville, AR

NPI number 1477529436 Active

Practice location

1602 W Main St
Russellville, AR 72801-2720

Fax (479) 968-4290

Mailing address

PO Box 843
Russellville, AR 72811-0843

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135XMC0841 (AR)

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

Another provider at this address

About NPI 1477529436

Russellville Dermatology Clinic PA's National Provider Identifier is 1477529436, issued on Feb 28, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Russellville, AR. The record was last updated on Mar 7, 2023.