Eric Brian Russell M.D.

NPI 1033198510 - Dermatology - 207N00000X

NPI Details
NPI 1033198510
Gender Male
Enumeration Date 01/12/2006
Last Updated 11/09/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2425 DAVE WARD DR
SUITE 202
CONWAY AR, 72034-8686, US
Phone (501) 328-5050
Fax
Business Location
2425 DAVE WARD DR
SUITE 202
CONWAY AR, 72034-8686, US
Phone (501) 328-5050
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Arkansas
License Number E3133
Remove 1033198510 NPI Number
 

According to our database, Dr. Eric Brian Russell M.D. NPI is 1033198510, taxonomy code is 207N00000X and license number is E3133, license state is located at Arkansas. Eric Brian Russell M.D. physically located at 2425 Dave Ward Dr, Conway AR, 72034-8686. NPI Number Eric Brian Russell M.D. has the Individual type.

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1033198510 NPI number is provided on an as is basis without warranty of any kind. 1033198510 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Brian Russell M.D. are for informational purposes only.