MR. Richard Dewayne Russell

NPI #1326196593 in Conway, Arkansas

Provider Information

NPI Number
1326196593
Entity Type
Individual
Name
MR. Richard Dewayne Russell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 6, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
3165 BOONE DR
City
Conway
ZIP Code
72034-7388
Phone
(501) 504-2126

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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