Russell, Andrew

Russell, Andrew is an individual health care provider with primary practice located at 2710 S Rife Medical Ln , Rogers AR 72758-1452. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Russell, Andrew can be contacted via phone (479) 636-0200.

Contact Information

Primary practice address
2710 S Rife Medical Ln Rogers AR 72758-1452
Phone: (479) 636-0200
Fax: (479) 986-3448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2022015511 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-13608 Arkansas

Profile Details

NPI number 1326509365
LBN Legal business name Russell, Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2019
Last updated Jul 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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