Dermatology
RUSSELL DERMATOLOGY OF CONWAY, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1639134067 · enumerated 2006-04-19 · record updated 2025-10-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mrs. JACKIE RUSSELL, bus/office mgr · (501) 328-5050
Addresses and phones
- Mailing address 2425 DAVE WARD DR, SUITE 202, CONWAY, AR, 72034-8686 (501) 328-5050 Fax (501) 328-2131 Google Maps Apple Maps OpenStreetMap
- Practice location 2425 DAVE WARD DR, SUITE 202, CONWAY, AR, 72034-8686 (501) 328-5050 Fax (501) 328-2131 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License e1574 AR
In this directory
Locations and evidence
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Practice location
CONWAY, AR, 720348686
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.