Organization
RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN F. AUSTIN M.D. (OWNER)
(479) 968-5261
Entity
Organization
Contact information
Practice address
106 S INGLEWOOD AVE, RUSSELLVILLE, AR 72801-3353
(479) 968-5261
(479) 968-4761
Mailing address
106 S INGLEWOOD AVE, RUSSELLVILLE, AR 72801-3353
(479) 968-5261
(479) 968-4761
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57789
ARK. BCBS
AR
Enumeration date
03/08/2006
Last updated
08/22/2020
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