RIVER VALLEY OBSTETRICS AND GYNECOLOGY P. A. NPI 1417610999

NPI Information

RIVER VALLEY OBSTETRICS AND GYNECOLOGY, P. A. is an obstetrics gynecology in Russellville, AR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. RIVER VALLEY OBSTETRICS AND GYNECOLOGY, P. A. NPI is 1417610999. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801-533
Phone: (479) 219-9913

The provider's authorized official is Suzanna Chatterjee .
The authorized official title is Provider/owner and has the following contact phone number (479) 219-9913.

The CLIA number assigned to this NPI record is 04D2240675 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/20/2021 and was last updated on 10/20/2021.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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