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Contact Information

RUSSELL MEDICAL SERVICES PLLC
5071 HIGHWAY 82 E
LAKE VILLAGE, AR71653
 Phone: 870-515-1289
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RUSSELL MEDICAL SERVICES PLLC · (Female)

NPI Number 1689120263
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • AS License # C4971
Hospital affiliation(s) Not Available
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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