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Russellville Dermatology Clinic Pa
Procedural Dermatology Physician in Russellville, Arkansas
NPI 1477529436

Russellville Dermatology Clinic Pa is a Procedural Dermatology Physician based in Russellville, AR and is specialized in Procedural Dermatology. Russellville Dermatology Clinic Pa practices in Russellville, AR. The NPI Number for Russellville Dermatology Clinic Pa is 1477529436 and holds a License No. MC0841 (Arkansas).

The current practice location address for Russellville Dermatology Clinic Pa is 1602 W Main St, Russellville, AR and can be reached out via phone at 479-968-6969 and via fax at 479-968-4290.

Location: 1602 W Main St, Russellville, AR, 72811-0843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477529436
Provider Name
Russellville Dermatology Clinic Pa
Credential
Provider Entity Type
Organization
Address
1602 W Main St, Russellville, AR, 72811-0843
Phone Number
479-968-6969
Fax Number
479-968-4290
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110005002 05 AR
institution
Provider Business Practice Location Address Details
Address
1602 W Main St
City
Russellville
State
Arkansas
Zip
72801-2720
Phone Number
479-968-6969
Fax Number
479-968-4290
person
Provider Business Mailing Address Details
Address
1602 W Main St
City
Russellville
State
Arkansas
Zip
72801-2720
Phone Number
479-968-6969
Fax Number
479-968-4290
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
MC0841 (Arkansas)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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1602 W Main St,
RUSSELLVILLE, AR
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479-968-6969
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