Albert Russenberger II

NPI #1760074264 in Cabot, Arkansas

Provider Information

NPI Number: 1760074264
Entity Type: Individual
Name: Albert Russenberger II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Feb 5, 2021
Last Updated: Feb 5, 2021

Practice Location

Address: 3148 HIGHWAY 367 S
City: Cabot
State: Arkansas
ZIP Code: 72023-7473
Phone: (501) 941-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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