institution
Russellville Ear Nose And Throat Surgery Clinic, P.a.
Otolaryngology/Facial Plastic Surgery Physician in Russellville, Arkansas
NPI 1306814116

Russellville Ear Nose And Throat Surgery Clinic, P.a. is a Otolaryngology/Facial Plastic Surgery Physician based in Russellville, AR and is specialized in Otolaryngology/Facial Plastic Surgery. Russellville Ear Nose And Throat Surgery Clinic, P.a. practices in Russellville, AR. The NPI Number for Russellville Ear Nose And Throat Surgery Clinic, P.a. is 1306814116 and holds a License No. (Arkansas).

The current practice location address for Russellville Ear Nose And Throat Surgery Clinic, P.a. is 106 S Inglewood Ave, Russellville, AR and can be reached out via phone at 479-968-5261 and via fax at 479-968-4761.

Location: 106 S Inglewood Ave, Russellville, AR, 72801-3353
institution
Provider Profile Details
NPI Number
1306814116
Provider Name
Russellville Ear Nose And Throat Surgery Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
106 S Inglewood Ave, Russellville, AR, 72801-3353
Phone Number
479-968-5261
Fax Number
479-968-4761
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
57789 01 AR ARK. BCBS
institution
Provider Business Practice Location Address Details
Address
106 S Inglewood Ave
City
State
Zip
72801-3353
Phone Number
479-968-5261
Fax Number
479-968-4761
person
Provider Business Mailing Address Details
Address
106 S Inglewood Ave
City
State
Zip
72801-3353
Phone Number
479-968-5261
Fax Number
479-968-4761
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
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Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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