Organization
ARKANSAS VALLEY UROLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HUGH BROWN (OWNER/UROLOGIST)
(479) 968-8765
Entity
Organization
Contact information
Practice address
2501 WEST MAIN STREET, RUSSEVILLE, AR 72801
(479) 968-8765
(479) 967-6501
Mailing address
2501 WEST MAIN STREET, RUSSEVILLE, AR 72801
(479) 968-8765
(479) 967-6501
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C4182
AR
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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