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Individual

RUSSELL JAMES ROARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4301 W MARKHAM ST # 567, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10060880
TX
207R00000X
Internal Medicine Physician
Primary
E-18297
AR
207RG0100X
Gastroenterology Physician
E-18297
AR

Other

Enumeration date
05/23/2017
Last updated
09/05/2024
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