Whalio Doctors

NPI 1285119198

Saint Marys Primary Care Network LLC

Organisation Family Medicine Physician Russellville, AR

Practice location

Address
1600 W C Pl, Russellville, AR 72801-2705
Phone
(479) 967-7717
Fax
(866) 280-8464

Authorised official

Name
Kathy J. Teague
Title
Secretary
Phone
(615) 920-7000

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Registry record

NPI
1285119198
Entity type
Organization
NPI issued
26 Sep 2018
Record last updated
12 Dec 2019

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.