NPI 1033198510

Eric Brian Russell, MD

Practitioner Dermatology Physician Conway, AR

Practice location

Address: 2425 Dave Ward Dr Suite 202, Conway, AR 72034-8686
Phone: (501) 328-5050

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence E3133 (AR)

Other Dermatology providers in Arkansas →

Registry record

NPI: 1033198510
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2006
Record last updated: 9 Nov 2010

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.