Individual
DR. JAMES DAVIS RUSSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1521 N 10TH ST, STE C, BLYTHEVILLE, AR 72315-1405
(870) 762-5360
(870) 762-1146
Mailing address
1521 N 10TH ST, STE C, BLYTHEVILLE, AR 72315-1405
(870) 762-5360
(870) 762-1146
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C4640
AR
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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