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Organization

RIVER VALLEY MEDICAL WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN MARTIN DO (PROVIDER)
(833) 479-6325
Entity
Organization

Contact information

Practice address
2600 W MAIN ST, RUSSELLVILLE, AR 72801-2535
(833) 479-6325
Mailing address
12811 SAINT CHARLES BLVD, LITTLE ROCK, AR 72211-2105

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
06/03/2020
Last updated
05/18/2022
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