RUSSELLVILLE GYNECOLOGY CLINIC NPI 1164412243

NPI Information

RUSSELLVILLE GYNECOLOGY CLINIC is a gynecology obstetrics gynecology in Russellville, AR. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee RUSSELLVILLE GYNECOLOGY CLINIC NPI is 1164412243. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

914 W B ST
RUSSELLVILLE, AR
ZIP 72801-502
Phone: (479) 968-7909
Fax: (479) 968-6908

The provider's authorized official is Lawrence Douglas Battles .
The authorized official title is President and has the following contact phone number (479) 968-7909.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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