Organization
RUSSELL S GORNICHEC MD PC
Active
Other names
RUSSELL S GORNICHEC MD PA, Laser Solutions Medical Spa and Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GORNICHEC (CLINIC ADMINISTRATOR)
(501) 781-0772
Entity
Organization
Contact information
Practice address
501 W GRAND AVE, HOT SPRINGS, AR 71901-3931
(501) 781-0772
(501) 781-4000
Mailing address
115 BIG DUKE TRL, HOT SPRINGS, AR 71913-2515
(501) 778-7300
(501) 778-7301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E7873
AR
Other
Enumeration date
02/01/2012
Last updated
02/19/2019
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