Organization
RUSSELL P WEBSTER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL P WEBSTER MD (PRESIDENT)
(870) 793-4711
Entity
Organization
Contact information
Practice address
1700 HARRISON ST, STE S, BATESVILLE, AR 72501-7316
(870) 793-4711
(870) 793-4864
Mailing address
1700 HARRISON ST, STE S, BATESVILLE, AR 72501-7316
(870) 793-4711
(870) 793-4864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5545
AR
Other
Enumeration date
09/27/2005
Last updated
08/22/2020
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