Search › Arkansas › 332B00000X
Richard Russell
NPI 1326196593 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3165 Boone Dr
Conway, AR 72034 - Phone
- (501) 504-2126
- Fax
- (501) 504-2126
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas