ARKANSAS RENAL GROUP PA NPI 1922769322

NPI Information

ARKANSAS RENAL GROUP PA is a nephrology internal medicine in Russellville, AR. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. ARKANSAS RENAL GROUP PA NPI is 1922769322. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 SKYLINE DR
RUSSELLVILLE, AR
ZIP 72801-363
Phone: (501) 624-6000
Fax: (501) 321-0710

The provider's authorized official is Jerry Edgin .
The authorized official title is Chief Executive Officer and has the following contact phone number (501) 624-6000.

The CLIA number assigned to this NPI record is 04D2178013 - pharmacy with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/7/2022 and was last updated on 1/7/2022.

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:

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