St Mary's Physician Services LLC

NPI #1124084991 in Russellville, Arkansas

Provider Information

NPI Number: 1124084991
Entity Type: Organization
Organization Name: St Mary's Physician Services LLC
Primary Specialty: General Practice
Enumeration Date: Apr 21, 2006
Last Updated: Sep 26, 2024

Practice Location

Address: 101 SKYLINE DR
City: Russellville
State: Arkansas
ZIP Code: 72801-3363
Phone: (479) 968-2345

Authorized Official

Name: CHARLOTTE LAWRENCE
Title: SECRETARY
Phone: (615) 920-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
General Practice	208D00000X	Primary

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