Organization
RUSSELLVILLE EAR NOSE AND THROAT SURGERY CLINIC, P.A.
Active
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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