Mr. Richard Dewayne Russell
Mr. Richard Dewayne Russell is a Durable Medical Equipment & Medical Supplies in Conway, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.
- Licensed in
- AR
- In the registry since
- 2007
Practice location Address checks out
3165 Boone DrConway, AR 72034-7388
Phone: (501) 504-2126
Fax: (501) 504-2126
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence MG00708 (AR) |
|---|
Record details
| NPI number | 1326196593 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2007 |
| Last updated in NPPES | July 9, 2007 |
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