Russell B Allison Md Pa

NPI 1114277993 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1114277993
Enumeration Date 09/19/2012
Last Updated 02/11/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CAROL CAROL
Position NURSE PRACITIONER
Phone (479) 880-1118
Fax (479) 880-1120
Practice Location
5395 W ASH ST
POTTSVILLE AR, 72858-9170, US
Phone (479) 880-1118
Fax (479) 880-1120
Business Location
PO BOX 1146
RUSSELLVILLE AR, 72811-1146, US
Phone (479) 890-9292
Fax (479) 890-6962
Toxanomy
Taxonomy Code 363LF0000X
License State Arkansas
License Number A01298 ANP
Remove 1114277993 NPI Number
 

According to our database, Russell B Allison Md Pa NPI is 1114277993, taxonomy code is 363LF0000X and license number is A01298 ANP, license state is located at Arkansas. Russell B Allison Md Pa physically located at 5395 W Ash St, Pottsville AR, 72858-9170. NPI Number 1033115704 has the healthcare provider type.

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1114277993 NPI number is provided on an as is basis without warranty of any kind. 1114277993 is maintained by the National Plan & Provider Enumeration System. The contents of Russell B Allison Md Pa are for informational purposes only.