NPI | 1780367060 |
---|---|
Doing Business As | BAPTIST HEALTH FAMILY CLINIC - RUSSELLVILLE |
Entity Type | Organization |
Authorized Contact | WILL RUSHER CEO 501-812-7215 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2023-08-11 |
Last Update Date | 2023-08-11 |