OrganizationActive
Russellville Dermatology Clinic PA
NPI 1477529436 · Procedural Dermatology Physician · Russellville, AR
Provider details
- NPI number
- 1477529436
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Galloway, President / Owner(479) 968-6969
- License
- MC0841 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1602 W Main St
Russellville, AR 72801-2720
Phone: (479) 968-6969
Fax: (479) 968-4290
Street-level locationGet directions
Mailing address
Po Box 843
Russellville, AR 72811-0843
Registry dates
- Enumerated
- 2006-02-28
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.