Organization
DREW PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VONDA RUSSELL (BUSINESS OFFICE DIRECTOR)
(870) 460-3514
Entity
Organization
Contact information
Practice address
750 HL ROSS DRIVE, MONTICELLO, AR 71655-5705
(870) 460-3514
(870) 460-3565
Mailing address
750 HL ROSS DRIVE, MONTICELLO, AR 71655
(870) 460-3514
(870) 460-3565
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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