Russell Medical Services Pllc
NPI #1689120263 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1689120263
- Entity Type
- Organization
- Organization Name
- Russell Medical Services Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Sep 1, 2016
Practice Location
- Address
- 5071 HIGHWAY 82 E
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653
- Phone
- (870) 515-1289
Authorized Official
- Name
- JOHN RANDALL RUSSELL, M.D.
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (870) 515-1289
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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