Eric Brian Russell
Medical Specialty
Professional ID
- NPI: 1033198510
- PECOS ID: 6800894668
- Enrollment ID: I20061110000264
- Credential(MD, DO, DPM): MD
- Medical School: University Of Arkansas College Of Medicine
- Medical School Graduation Year: 1999
Hospital Service
- Hospital CCN1: 040029
- Business Name (LBN)1: Conway Regional Medical Center
Medical Practices
- Organization Name: Russell Dermatology Of Conway, Pllc
- Group Practice ID assigned by PECOS: 2961528807
- Number of Group Practice member: 3
Location
- Address1: 2425 Dave Ward Dr
- Address2: Suite 202
- City: Conway
- State: Arkansas
- Zip Code: 72034
- Phone Number: (501)328-5050
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):