Russellville Family Clinic PA
NPI #1003805870 in Russellville, Arkansas
Provider Information
- NPI Number
- 1003805870
- Entity Type
- Organization
- Organization Name
- Russellville Family Clinic PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 14, 2005
- Last Updated
- Mar 11, 2014
Practice Location
- Address
- 108 SKYLINE DR
- City
- Russellville
- State
- Arkansas
- ZIP Code
- 72801-3362
- Phone
- (479) 968-7170
Authorized Official
- Name
- MRS. JOY A PIKE
- Title
- BUSINESS MANAGER
- Phone
- (479) 968-7170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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