Individual
JAMES L RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901
(479) 441-4000
Mailing address
3820 FREE FERRY RD, FORT SMITH, AR 72903-1762
(479) 462-2932
(479) 441-4932
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-3810
AR
207Q00000X
Family Medicine Physician
E3810
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152145001
—
AR
05
—
200054390A
—
OK
Enumeration date
10/11/2005
Last updated
12/15/2022
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