Russellville Gastroenterology Clinic PA
Russellville Gastroenterology Clinic PA is a Medical Specialty Clinic/Center in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.
- Licensed in
- AR
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1611 W Main StRussellville, AR 72801-2719
Phone: (479) 890-5881
Fax: (479) 890-5092
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence C6004 (AR) |
|---|---|
| Medical Specialty Clinic/Center | Taxonomy 261QM2500X (AR) |
Record details
| NPI number | 1750579488 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Denise Robertson — Owner · (479) 890-5881 |
| NPI enumerated | October 9, 2007 |
| Last updated in NPPES | January 22, 2015 |
| Mailing address | 1611 W Main St, Russellville, AR 72801-2719 |