| NPI | 1538162599 |
|---|---|
| Doing Business As | RUSSELLVILLE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | R. MARK TRIPP Owner 479-967-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00193) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-07-17 |