NPI 1124084991

St Mary's Physician Services LLC

Organisation General Practice Physician Russellville, AR

Practice location

Address: 101 Skyline Dr, Russellville, AR 72801-3363
Phone: (479) 968-2345
Fax: (479) 890-2497

Authorised official

Name: Charlotte Lawrence
Title: Secretary
Phone: (615) 920-7000

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Arkansas →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Arkansas →

Registry record

NPI: 1124084991
Entity type: Organization
NPI issued: 21 Apr 2006
Record last updated: 26 Sep 2024

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.