John Russell, MD

NPI 1952380651 · on the registry since 2006

Practice

Address: 608 S Highway 65 82
Lake Village, AR 71653
Phone: (870) 265-9810
Fax: (870) 265-9813
Organisation at this address: Southeast Rehab Llc
Southeast Rehab Llc
Dayspring Services Of Arkansas Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 208M00000X
208M00000X
Also registered as: 207Q00000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-01

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