NPI 1295281293 · live from the CMS NPI Registry
Arkansas Liver And Gastroenterology, P.A.
Internal Medicine, Gastroenterology in Russellville, AR. National Provider Identifier 1295281293, active.
NPI record
| NPI | 1295281293 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1605 West Main Street, Russellville, AR 72801 |
| Practice phone | 479-242-2888 |
| Mailing address | 3416 Old Greenwood Rd, Fort Smith, AR 72903 |
| Enumerated | August 30, 2016 |
| Last updated | December 15, 2017 |
| Authorized official | Sarah Coluccino, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.