RUSSELLVILLE PRIMARY CARE CLINIC, INC.

RUSSELLVILLE, AR
NPI1427065556
Entity TypeOrganization
Authorized ContactMONTI L KIST
Owner/President
479-967-3980
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2006-08-02
Last Update Date2010-05-13
Business Address
RUSSELLVILLE PRIMARY CARE CLINIC, INC.
2524 W MAIN ST
RUSSELLVILLE, AR 72801-2533
Phone number: 479-967-3980
Mailing Address
RUSSELLVILLE PRIMARY CARE CLINIC, INC.
PO BOX 9010
RUSSELLVILLE, AR 72811-9010
Phone number: 479-967-3980
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