Organization
RUSSELL B ALLISON MD PA
Active
Other names
Pottsville Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL TOWNSEND NPA (NURSE PRACITIONER)
(479) 880-1118
Entity
Organization
Contact information
Practice address
5395 W ASH ST, POTTSVILLE, AR 72858-9170
(479) 880-1118
(479) 880-1120
Mailing address
PO BOX 1146, RUSSELLVILLE, AR 72811-1146
(479) 890-9292
(479) 890-6962
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
A01298 ANP
AR
Other
Enumeration date
09/19/2012
Last updated
02/11/2015
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