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Organization

RUSSELLVILLE PHYSICIANS LLC

Active
Other names
Russellville Cardiology
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE STEWART (PRESIDENT)
(256) 332-8679
Entity
Organization

Contact information

Practice address
15225 HIGHWAY 43, SUITE B, RUSSELLVILLE, AL 35653-1999
(256) 331-5828
(256) 331-5829
Mailing address
P.O. BOX 1216, RUSSELLVILLE, AL 35653-1999
(256) 331-5828
(256) 331-5829

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31191
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132621
AL
05
169984
AL
Enumeration date
09/16/2011
Last updated
06/25/2015
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