RUSSELL B ALLISON MD PA NPI 1114277993

NPI Information

RUSSELL B ALLISON MD PA is a rural health clinic center in Pottsville, AR. RUSSELL B ALLISON MD PA NPI is 1114277993. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pottsville Primary Care.

The provider's business location address is:

5395 W ASH ST
POTTSVILLE, AR
ZIP 72858-170
Phone: (479) 880-1118
Fax: (479) 880-1120

The provider's authorized official is Carol Townsend .
The authorized official title is Nurse Pracitioner and has the following contact phone number (479) 880-1118.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 2/11/2015.

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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