# RUSSELL B ALLISON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pottsville Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114277993
- **Authorized official:** CAROL TOWNSEND NPA (NURSE PRACITIONER)
- **Authorized official phone:** (479) 880-1118

## Contact information

- **Practice address:** 5395 W ASH ST, POTTSVILLE, AR 72858-9170
- **Practice address phone:** (479) 880-1118
- **Practice address fax:** (479) 880-1120
- **Mailing address:** PO BOX 1146, RUSSELLVILLE, AR 72811-1146
- **Mailing address phone:** (479) 890-9292
- **Mailing address fax:** (479) 890-6962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | A01298 ANP | AR | — |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 02/11/2015