Individual
RUSSELL B. RAULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 424-3400
(870) 424-4121
Mailing address
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 424-3400
(870) 424-4121
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2010-00775
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
E6542
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440106101
—
AR
Enumeration date
04/25/2007
Last updated
09/22/2015
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