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1760479570
ROY E RUSSELL
FORT SMITH, AR
NPI
1760479570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR C7967)
Enumeration Date
2005-10-06
Last Update Date
2010-08-23
Business Address
-- ROY E RUSSELL MD
5111 ROGERS AVE STE 40M
FORT SMITH, AR 72903-2047
Phone number: 479-709-7440
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Mailing Address
-- ROY E RUSSELL MD
PO BOX 402139
ATLANTA, GA 30384-2319
Phone number: 479-709-7399
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