Organization
ARKANSAS VALLEY ANESTHESIA ASSOCIATES, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C WILLIAMS M.D. (DIRECTOR)
(501) 454-8336
Entity
Organization
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 968-2841
Mailing address
PO BOX 1351, RUSSELLVILLE, AR 72811-1351
(877) 649-7812
(918) 392-2941
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113665002
—
AR
01
—
57607
BLUE CROSS BLUE SHIELD AR
AR
01
—
770090702
AR BREASTCARE
AR
01
—
CC5970
RR MEDICARE
—
Enumeration date
08/04/2005
Last updated
07/21/2022
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