Individual
DOUGLAS PEHRSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 N ITHACA AVE, RUSSELLVILLE, AR 72801-4301
(479) 968-8995
Mailing address
PO BOX 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 763-3308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124719
AR
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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