Individual
DR. RUSSELL PAUL TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16221 ST VINCENT WAY, SUITE 100, LITTLE ROCK, AR 72223
(501) 552-8150
(501) 552-8199
Mailing address
16221 ST VINCENT WAY, SUITE 100, LITTLE ROCK, AR 72223
(501) 552-8150
(501) 552-8199
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-4882
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4882
ALLOPATHIC PHYSICIAN LIC
AR
Enumeration date
08/17/2006
Last updated
11/26/2019
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