Individual
DR. DARRELL LOUIE SPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 964-9118
(479) 964-9491
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 968-2449
(479) 968-1363
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
R3959
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115739001
—
AR
01
—
52907
ARK. BCBS
AR
Enumeration date
02/24/2006
Last updated
07/08/2007
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