Individual provider · Type 1 NPI

Albert Russenberger Ii

Driver · Cabot, AR

NPI number 1760074264 Active

Practice location

3148 Highway 367 S
Cabot, AR 72023-7473

Mailing address

3127 Southwest Dr Ste A
Jonesboro, AR 72404-8404

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1760074264

Albert Russenberger Ii's National Provider Identifier is 1760074264, issued on Feb 5, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Cabot, AR. The record was last updated on Feb 5, 2021.