Russellville Dermatology Clinic Pa in Russellville - Procedural Dermatology
Russellville Dermatology Clinic Pa - NPI 1477529436
Russellville Dermatology Clinic Pa is a Procedural Dermatology in Russellville, Arkansas. Russellville Dermatology Clinic Pa practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Russellville Dermatology Clinic Pa is 1477529436. The last update date is 2023-03-07.
Russellville Dermatology Clinic Pa's current location address is Po Box 843, Russellville, Arkansas. You can contact this provider via phone number 4799686969 and fax number 4799684290. The mailing address for Russellville Dermatology Clinic Pa is Po Box 843, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russellville Dermatology Clinic Pa |
|---|---|
| Address | Po Box 843, Russellville, Arkansas |
| Phone Number | 4799686969 |
| Fax Number | 4799684290 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Galloway W William |
| Credentials | M.D. |
| Telephone Number | 4799686969 |
NPI Number Detail
| NPI Number | 1477529436 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 843 |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728110843 |
| Phone Number | 4799686969 |
| Fax Number | 4799684290 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | MC0841 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110005002 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Russellville Dermatology Clinic Pa by the Centers for Medicare & Medicaid Services?
The Russellville Dermatology Clinic Pa has been assigned the NPI (National Provider Identifier) 1477529436. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Russellville Dermatology Clinic Pa is physically located?
The Russellville Dermatology Clinic Pa is physically situated at the following address: Po Box 843, Russellville, AR, 728110843.
What is Russellville Dermatology Clinic Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Russellville Dermatology Clinic Pa is Procedural Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207Ns0135X.
On what date did the Russellville Dermatology Clinic Pa receive its 1477529436 assignment from the Centers for Medicare & Medicaid Services?
The Russellville Dermatology Clinic Pa was assigned its 1477529436 by the Centers for Medicare & Medicaid Services on 2006-02-28.
When was the information related to Russellville Dermatology Clinic Pa most recently updated or refreshed?
The details pertaining to the Russellville Dermatology Clinic Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.