Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Russellville Dermatology Clinic PA

Organization Procedural Dermatology Physician · NPI 1477529436

Russellville Dermatology Clinic PA is a Procedural Dermatology Physician in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1602 W Main St
Russellville, AR 72801-2720
Phone: (479) 968-6969
Fax: (479) 968-4290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence MC0841 (AR)

Record details

NPI number1477529436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Galloway — President / Owner · (479) 968-6969
NPI enumeratedFebruary 28, 2006
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 843, Russellville, AR 72811-0843

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