Russellville Gynecology Clinic
Russellville Gynecology Clinic provides Gynecology Physician services in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2005.
- Licensed in
- AR
- In the registry since
- 2005
Practice location Address checks out
914 W B StRussellville, AR 72801-3502
Phone: (479) 968-7909
Fax: (479) 968-6908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecology Physician (primary) | Taxonomy 207VG0400X · Licence C4687 (AR) |
|---|
Record details
| NPI number | 1164412243 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lawrence Battles — President · (479) 968-7909 |
| NPI enumerated | October 28, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 914 W B St, Russellville, AR 72801-3502 |