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NPI 1164412243

OrganizationActive

Russellville Gynecology Clinic

NPI 1164412243 · Gynecology Physician · Russellville, AR

Provider details

NPI number: 1164412243
Entity type: Organization
Primary specialty: Gynecology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Lawrence Battles, President
License: C4687 (AR)

Practice location

914 W B St

Russellville, AR 72801-3502

Phone: (479) 968-7909

Fax: (479) 968-6908

More AR providers

Mailing address

914 W B St

Russellville, AR 72801-3502

Registry dates

Enumerated: 2005-10-28
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Russellville Gynecology Clinic — NPI 1164412243, Russellville, AR | NPI Central