RUSSELLVILLE DERMATOLOGY CLINIC PA – Procedural Dermatology Physician, NPI 1477529436

RUSSELLVILLE DERMATOLOGY CLINIC PA is a healthcare provider. based in Russellville, Arkansas. specializing in Procedural Dermatology Physician. The organization holds a License No. MC0841 (AR). The NPI Number for RUSSELLVILLE DERMATOLOGY CLINIC PA is 1477529436

Main info

Organization
Name
RUSSELLVILLE DERMATOLOGY CLINIC PA
NPI
1477529436
Phone
(479) 968-6969
Address
1602 W MAIN ST
Authorized Official
DR. WILLIAM W GALLOWAY PRESIDENT / OWNER M.D.
Enumeration Date
28 February 2006
Last Update Date
7 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for RUSSELLVILLE DERMATOLOGY CLINIC PA

  • William H. Norwood House, 1602, West Main Street, Ouitaville, Russellville, Pope County, Arkansas, 72801, United States

    RUSSELLVILLE, AR 728012720

    Phone: (479) 968-6969

    Fax: (479) 968-4290

    Type: Location

  • PO BOX 843

    RUSSELLVILLE, AR 728110843

    Phone: (479) 968-6969

    Fax: (479) 968-4290

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72801)

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Frequently asked questions

Where can patients find RUSSELLVILLE DERMATOLOGY CLINIC PA's NPI?
You can confirm RUSSELLVILLE DERMATOLOGY CLINIC PA with NPI 1477529436; it appears in the national provider directory.
Is RUSSELLVILLE DERMATOLOGY CLINIC PA active in the national directory?
RUSSELLVILLE DERMATOLOGY CLINIC PA's public NPI profile is in an active state.
Can you summarize RUSSELLVILLE DERMATOLOGY CLINIC PA's specialty in plain language?
Clinically, the directory lists RUSSELLVILLE DERMATOLOGY CLINIC PA with Procedural Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is RUSSELLVILLE DERMATOLOGY CLINIC PA's primary listing?
We display Russellville, Arkansas because that is what the record indicates for RUSSELLVILLE DERMATOLOGY CLINIC PA.
What if Russellville, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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