Whalio Doctors

NPI 1326339557

Chadwick Jerold Masters, MD

Practitioner Pediatrics Physician Russellville, AR

Practice location

Address
101 Skyline Dr, Russellville, AR 72801-3363
Phone
(479) 968-2345
Fax
(479) 890-7169
Mailing address
1601 N Church St, Atkins, AR 72823-3234

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence E8524 (AR)

Registry record

NPI
1326339557
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Apr 2011
Record last updated
7 Oct 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.