# RIVER VALLEY OBSTETRICS AND GYNECOLOGY, P. A.

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

## Provider details

- **NPI number:** 1417610999
- **Authorized official:** SUZANNA CHATTERJEE MD (PROVIDER/OWNER)
- **Authorized official phone:** (479) 219-9913

## Contact information

- **Practice address:** 2500 W MAIN ST, RUSSELLVILLE, AR 72801-2533
- **Practice address phone:** (479) 219-9913
- **Mailing address:** 2500 W MAIN ST, RUSSELLVILLE, AR 72801-2533
- **Mailing address phone:** (479) 219-9913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2021
- **Last updated:** 10/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 211170001 | — | AR |