Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELLVILLE DERMATOLOGY CLINIC PA
Active OrganizationRUSSELLVILLE DERMATOLOGY CLINIC PA is a Procedural Dermatology organization located in RUSSELLVILLE, Arkansas. NPI 1477529436 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · RUSSELLVILLE, AR
Registration Details
- NPI Number
- 1477529436
- Provider Type
- Organization
- NPI Issued
- Feb 28, 2006 (20.468797983489 yrs)
- Last Updated
- Mar 7, 2023
- License
-
MC0841 (AR)
Practice Information
- Address
-
1602 W MAIN STRUSSELLVILLE, AR, 728012720Browse AR providers · Browse ZIP 72801
- Phone
- 4799686969
- Fax
- 4799684290
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.