# RUSSELL P WEBSTER MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255327904
- **Authorized official:** DR. RUSSELL P WEBSTER MD (PRESIDENT)
- **Authorized official phone:** (870) 793-4711

## Contact information

- **Practice address:** 1700 HARRISON ST, STE S, BATESVILLE, AR 72501-7316
- **Practice address phone:** (870) 793-4711
- **Practice address fax:** (870) 793-4864
- **Mailing address:** 1700 HARRISON ST, STE S, BATESVILLE, AR 72501-7316
- **Mailing address phone:** (870) 793-4711
- **Mailing address fax:** (870) 793-4864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C5545 | AR | Yes |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 08/22/2020