Individual
BRENT RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
246 S MAESTRI RD STE 2, TONTITOWN, AR 72762-9703
(479) 220-9909
Mailing address
246 S MAESTRI RD STE 2, TONTITOWN, AR 72762-9703
(479) 220-9909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004751
AR
Other
Enumeration date
05/31/2016
Last updated
11/04/2022
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