Organization
FT SMITH RHEUMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL B BRANUM MD (PHYSICIAN)
(479) 573-7800
Entity
Organization
Contact information
Practice address
3501 W.E. KNIGHT DR, FORT SMITH, AR 72903-6248
(479) 573-7800
(479) 709-7238
Mailing address
PO BOX 11436, FORT SMITH, AR 72917-1436
(479) 573-7800
(479) 709-7238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146912001
—
AR
05
—
162999002
—
AR
Enumeration date
10/16/2007
Last updated
07/21/2022
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