Arkansas Valley Urology Clinic

Specialty details in registry · Russeville, AR

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At a glance

2501 West Main Street, Russeville, AR 72801

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2501 West Main Street
Russeville, AR 72801
Professional details: NPI, taxonomy & registry record
NPI1275618134
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
208800000X
Enumeration date
Oct 26, 2006
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

208800000X · Primary

License reported: C4182 AR

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2501 West Main Street
Russeville, AR 72801
Phone
(479) 968-8765
Fax
(479) 967-6501
Mailing address
2501 WEST MAIN STREET

RUSSEVILLE, AR 72801
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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