# RUSSELL B ALLISON MDPA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arkansas Orthopaedic Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831288117
- **Authorized official:** RUSSELL B ALLISON MD (OWNER)
- **Authorized official phone:** (479) 890-9292

## Contact information

- **Practice address:** 1605 WEST MAIN ST, RUSSELLVILLE, AR 72801
- **Practice address phone:** (479) 890-9292
- **Practice address fax:** (479) 890-6962
- **Mailing address:** PO BOX 1146, RUSSELLVILLE, AR 72811
- **Mailing address phone:** (479) 890-9292
- **Mailing address fax:** (479) 890-6962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | AR | — |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 11/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 150388002 | — | AR |
| 01 | — | DA7424 | PALMETTO RAILROAD | AR |