| Arkansas Liver And Gastroenterology, P.a. | |
|
1605 West Main Street Russellville AR 72801 | |
| (479) 242-2888 | |
| (479) 242-2889 |
| Full Name | Arkansas Liver And Gastroenterology, P.a. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1605 West Main Street, Russellville, Arkansas |
| Authorized Official Name and Position | Sarah Jessica-elise Coluccino (OFFICE MANAGER) |
| Authorized Official Contact | 4792422888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Liver And Gastroenterology, P.a. 3416 Old Greenwood Rd Fort Smith AR 72903-5462 Ph: (479) 242-2888 | Arkansas Liver And Gastroenterology, P.a. 1605 West Main Street Russellville AR 72801 Ph: (479) 242-2888 |
| NPI Number | 1295281293 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 12/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295281293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Arkansas) | Primary |
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