ROY E RUSSELL

FORT SMITH, AR
NPI1760479570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AR  C7967)
Enumeration Date2005-10-06
Last Update Date2010-08-23
Business Address
-- ROY E RUSSELL MD
5111 ROGERS AVE STE 40M
FORT SMITH, AR 72903-2047
Phone number: 479-709-7440
Mailing Address
-- ROY E RUSSELL MD
PO BOX 402139
ATLANTA, GA 30384-2319
Phone number: 479-709-7399
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