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Organization
RIVER VALLEY OBSTETRICS AND GYNECOLOGY, P. A.
Active
Organization
RIVER VALLEY OBSTETRICS AND GYNECOLOGY, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNA CHATTERJEE MD (PROVIDER/OWNER)
(479) 219-9913
Entity
Organization
Contact information
Practice address
2500 W MAIN ST, RUSSELLVILLE, AR 72801-2533
(479) 219-9913
Mailing address
2500 W MAIN ST, RUSSELLVILLE, AR 72801-2533
(479) 219-9913
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211170001
—
AR
Enumeration date
10/20/2021
Last updated
10/20/2021
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