Individual
PAUL A RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2278 ALBERT PIKE RD STE B, HOT SPRINGS, AR 71913-4157
(501) 767-0808
Mailing address
2278 ALBERT PIKE RD STE B, HOT SPRINGS, AR 71913-4157
(501) 767-0808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AT325
AR
174400000X
Specialist
Primary
PTA 1269
AR
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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