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Dr. James Davis Russell, MD
General Practice Physician in Blytheville, Arkansas
NPI 1497724223

James Davis Russell is a General Practice Physician based in Blytheville, AR. James Davis Russell practices in Blytheville, AR and has the professional credentials of MD. The NPI Number for James Davis Russell is 1497724223 and holds a License No. C4640 (Arkansas).

The current practice location address for James Davis Russell is 1521 N 10Th St, Blytheville, AR and can be reached out via phone at 870-762-5360 and via fax at 870-762-1146.

Location: 1521 N 10Th St, Blytheville, AR, 72315-1405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497724223
Provider Name
James Davis Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1521 N 10Th St, Blytheville, AR, 72315-1405
Phone Number
870-762-5360
Fax Number
870-762-1146
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1521 N 10Th St
City
Blytheville
State
Arkansas
Zip
72315-1405
Phone Number
870-762-5360
Fax Number
870-762-1146
person
Provider Business Mailing Address Details
Address
1521 N 10Th St
City
Blytheville
State
Arkansas
Zip
72315-1405
Phone Number
870-762-5360
Fax Number
870-762-1146
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
C4640 (Arkansas)
Definition
Definition to come...
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