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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