Organization
RUSSELLVILLE PHYSICIAN PRACTICES LLC
Active
Other names
Edward H Fisher MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
715 GANDY STREET NE, SUITE B, RUSSELLVILLE, AL 35653
(256) 332-1800
(256) 332-1815
Mailing address
PO BOX 759, RUSSELLVILLE, AL 35653
(256) 332-1800
(256) 332-1815
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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