Russellville Dermatology Clinic PA
NPI #1477529436 in Russellville, Arkansas
Provider Information
- NPI Number
- 1477529436
- Entity Type
- Organization
- Organization Name
- Russellville Dermatology Clinic PA
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Feb 28, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1602 W MAIN ST
- City
- Russellville
- State
- Arkansas
- ZIP Code
- 72801-2720
- Phone
- (479) 968-6969
Authorized Official
- Name
- DR. WILLIAM W GALLOWAY, M.D.
- Title
- PRESIDENT / OWNER
- Phone
- (479) 968-6969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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