RUSSELLVILLE DERMATOLOGY CLINIC PA is a procedural dermatology dermatology in Russellville, AR. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). RUSSELLVILLE DERMATOLOGY CLINIC PA NPI is 1477529436. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1602 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801-720
Phone: (479) 968-6969
Fax: (479) 968-4290
The provider's authorized official is William W Galloway .
The authorized official title is President / Owner and has the following contact phone number (479) 968-6969.
The CLIA number assigned to this NPI record is 04D2108006 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 2/28/2006 and was last updated on 3/7/2023.