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Contact Information

MARK S RUSSELL, MD
3633 CENTRAL AVENUE
SUITE D
HOT SPRINGS, AR71913-6475
 Phone: 501-623-6693
 Fax: 501-623-9403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Specialist

174400000X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MARK S RUSSELL · (Male)

NPI # 1982694428
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AR License # C-6875
  • AR License # C6875
  • AR Medicaid 110923001
  • AR Other 546256799 MEDICARE GROUP PIN
  • AR Other C6875 STATE LICENSE
Hospital affiliation(s)
  • ST JOSEPHS MERCY HEALTH CENTER INC - (Acute Care)
    300 WERNER STREET
    HOT SPRINGS, AR 71903
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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