Individual
DR. JAMES BISHOP RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1014 HARKRIDER ST, SUITE 3, CONWAY, AR 72032
(501) 336-9733
Mailing address
904 AUTUMN RD SUITE 500, PRACTICE PLUS, LITTLE ROCK, AR 72211
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
N7364
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52632
HEALTH ADVANTAGE
—
01
—
5B553
BLUE CROSS
—
Enumeration date
07/20/2005
Last updated
07/08/2007
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