Individual
RUSSELL D DEGGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-8000
(870) 934-3629
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3629
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C-6399
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111702001
—
AR
Enumeration date
04/12/2006
Last updated
11/17/2015
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