OrganizationActive
Russellville Gastroenterology Clinic PA
NPI 1750579488 · Medical Specialty Clinic/Center · Russellville, AR
Provider details
- NPI number
- 1750579488
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Robertson, Owner(479) 890-5881
Specialties & taxonomies
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Practice location
1611 W Main St
Russellville, AR 72801-2719
Phone: (479) 890-5881
Fax: (479) 890-5092
Approximate (ZIP-level) locationGet directions
Mailing address
1611 W Main St
Russellville, AR 72801-2719
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2015-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.