| Russell Medical Services Pllc | |
|
5071 Highway 82 E Lake Village AR 71653 | |
| (870) 515-1289 | |
| Not Available |
| Full Name | Russell Medical Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5071 Highway 82 E, Lake Village, Arkansas |
| Authorized Official Name and Position | John Randall Russell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8705151289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Medical Services Pllc 5071 Highway 82 E Lake Village AR 71653 Ph: (870) 515-1289 | Russell Medical Services Pllc 5071 Highway 82 E Lake Village AR 71653 Ph: (870) 515-1289 |
| NPI Number | 1689120263 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689120263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C4971 (American Samoa) | Primary |
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