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

Russellville Family Clinic PA

Organization Family Medicine Physician · NPI 1003805870

Russellville Family Clinic PA is a Family Medicine Physician in Russellville, Arkansas. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 Skyline Dr
Russellville, AR 72801-3362
Phone: (479) 968-7170
Fax: (479) 968-7607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1003805870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joy Pike — Business Manager · (479) 968-7170
NPI enumeratedOctober 14, 2005
Last updated in NPPESMarch 11, 2014
Mailing addressPo Box 1648, Russellville, AR 72811-1648

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