RUSSELL DERMATOLOGY OF CONWAY, PLLC

CONWAY, AR
NPI1639134067
Entity TypeOrganization
Authorized ContactJACKIE D RUSSELL
Bus/Office Mgr
501-328-5050
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: AR  e1574)
Enumeration Date2006-04-19
Last Update Date2010-10-28
Business Address
RUSSELL DERMATOLOGY OF CONWAY, PLLC
2425 DAVE WARD DR SUITE 202
CONWAY, AR 72034-8686
Phone number: 501-328-5050
Mailing Address
RUSSELL DERMATOLOGY OF CONWAY, PLLC
2425 DAVE WARD DR SUITE 202
CONWAY, AR 72034-8686
Phone number: 501-328-5050