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Contact Information

ARKANSAS VALLEY UROLOGY CLINIC
2501 WEST MAIN STREET
RUSSELLVILLE, AR72801
 Phone: 479-968-8765
 Fax: 479-967-6501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for ARKANSAS VALLEY UROLOGY CLINIC · (Female)

NPI Number 1275618134
Status Active
Credentials
Entity Individual
Enumeration date 10/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # C4182
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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