Organization
RUSSELL B ALLISON MDPA
Active
Other names
Arkansas Orthopaedic Institute
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL B ALLISON MD (OWNER)
(479) 890-9292
Entity
Organization
Contact information
Practice address
1605 WEST MAIN ST, RUSSELLVILLE, AR 72801
(479) 890-9292
(479) 890-6962
Mailing address
PO BOX 1146, RUSSELLVILLE, AR 72811
(479) 890-9292
(479) 890-6962
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
363LF0000X
Family Nurse Practitioner
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150388002
—
AR
01
—
DA7424
PALMETTO RAILROAD
AR
Enumeration date
10/12/2006
Last updated
11/06/2015
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