person
Mr. Richard Dewayne Russell
Durable Medical Equipment & Medical Supplies in Conway, Arkansas
NPI 1326196593

Richard Dewayne Russell is a Durable Medical Equipment & Medical Supplies based in Conway, AR. Richard Dewayne Russell practices in Conway, AR. The NPI Number for Richard Dewayne Russell is 1326196593 and holds a License No. MG00708 (Arkansas).

The current practice location address for Richard Dewayne Russell is 3165 Boone Dr, Conway, AR and can be reached out via phone at 501-504-2126 and via fax at 501-504-2126.

Location: 3165 Boone Dr, Conway, AR, 72034-7388
person
Provider Profile Details
NPI Number
1326196593
Provider Name
Richard Dewayne Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
3165 Boone Dr, Conway, AR, 72034-7388
Phone Number
501-504-2126
Fax Number
501-504-2126
Provider Enumeration Date
01/06/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3165 Boone Dr
City
State
Zip
72034-7388
Phone Number
501-504-2126
Fax Number
501-504-2126
person
Provider Business Mailing Address Details
Address
3165 Boone Dr
City
State
Zip
72034-7388
Phone Number
501-504-2126
Fax Number
501-504-2126
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
MG00708 (Arkansas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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