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Arkansas Tech University
General Practice Physician in Russellville, Arkansas
NPI 1588136428

Arkansas Tech University is a General Practice Physician based in Dallas, AR. Arkansas Tech University practices in Russellville, AR. The NPI Number for Arkansas Tech University is 1588136428 and holds a License No. (Arkansas).

The current practice location address for Arkansas Tech University is 1306 N El Paso Ave, Russellville, AR and can be reached out via phone at 972-367-4845.

Location: 1306 N El Paso Ave, Russellville, AR, 75244-3995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588136428
Provider Name
Arkansas Tech University
Credential
Provider Entity Type
Organization
Address
1306 N El Paso Ave, Russellville, AR, 75244-3995
Phone Number
972-367-4845
Fax Number
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1306 N El Paso Ave
City
Russellville
State
Arkansas
Zip
72801-8814
Phone Number
972-367-4845
Fax Number
person
Provider Business Mailing Address Details
Address
1306 N El Paso Ave
City
Russellville
State
Arkansas
Zip
72801-8814
Phone Number
972-367-4845
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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