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Contact Information

RUSSELL B RAULS, MD
3 MEDICAL PLZ
MOUNTAIN HOME, AR72653-2918
 Phone: 870-424-3400
 Fax: 870-424-4121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RUSSELL B RAULS · (Male)

NPI # 1356560692
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2007
Last updated 09/22/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E6542
  • NC License # 2010-00775
  • AR Medicaid 440106101
Hospital affiliation(s)
  • BAXTER REGIONAL MEDICAL CENTER - (Acute Care)
    624 HOSPITAL DRIVE
    MOUNTAIN HOME, AR 72653
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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