OrganizationActive
River Valley Sleep Associates, Inc
NPI 1164644308 · Pediatric Anesthesiology Physician · Russellville, AR
Provider details
- NPI number
- 1164644308
- Entity type
- Organization
- Primary specialty
- Pediatric Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stanley Gately, President(479) 970-9897
- License
- C-6606 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1405 Marina Way
Russellville, AR 72802-7951
Phone: (479) 880-1884
Fax: (479) 880-1884
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9035
Russellville, AR 72811-9035
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2010-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.