Organization
RIVER VALLEY SURGERY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD RAFI MD (OWNER)
(479) 967-7770
Entity
Organization
Contact information
Practice address
3110 W MAIN ST, RUSSELLVILLE, AR 72801-2455
(479) 967-7770
Mailing address
3110 W MAIN ST, RUSSELLVILLE, AR 72801-2455
(479) 967-7770
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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