NPI 1003805870

Russellville Family Clinic PA

Organisation Family Medicine Physician Russellville, AR

Practice location

Address: 108 Skyline Dr, Russellville, AR 72801-3362
Phone: (479) 968-7170
Fax: (479) 968-7607
Mailing address: PO Box 1648, Russellville, AR 72811-1648

Authorised official

Name: Joy a Pike
Title: Business Manager
Phone: (479) 968-7170

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Arkansas →

Registry record

NPI: 1003805870
Entity type: Organization
NPI issued: 14 Oct 2005
Record last updated: 11 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.