| Russell B Allison Md Pa | |
|
5395 W Ash St Pottsville AR 72858-9170 | |
| (479) 880-1118 | |
| (479) 880-1120 |
| Full Name | Russell B Allison Md Pa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 5395 W Ash St, Pottsville, Arkansas |
| Authorized Official Name and Position | Carol Townsend (NURSE PRACITIONER) |
| Authorized Official Contact | 4798801118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell B Allison Md Pa Po Box 1146 Russellville AR 72811-1146 Ph: (479) 890-9292 | Russell B Allison Md Pa 5395 W Ash St Pottsville AR 72858-9170 Ph: (479) 880-1118 |
| NPI Number | 1114277993 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 02/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114277993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | A01298 ANP (Arkansas) | Secondary |
Souza-townsend Family Medical Clinic, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5150b Sr 247, Pottsville, AR 72858 Phone: 479-567-5680 Fax: 479-567-5679 | |
Wanda Carol Townsend Aprn, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5150b Sr 247, Pottsville, AR 72858 Phone: 479-567-5680 Fax: 479-567-5679 | |
Conway Regional Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5395 W Ash St, Suite 2, Pottsville, AR 72858 Phone: 479-880-1118 Fax: 479-219-5013 | |
Shannan Souza Aprn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5150a Sr 247, Pottsville, AR 72858 Phone: 479-567-5680 Fax: 479-567-5679 |