Individual
DR. JONATHAN AMARKWEI LARYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB CHB
Contact information
Practice address
4301 W MARKHAM ST, SLOT 520, LITTLE ROCK, AR 72205-7101
(501) 686-6648
(501) 686-7280
Mailing address
4301 W MARKHAM ST, SLOT 520, LITTLE ROCK, AR 72205-7101
(501) 686-6648
(501) 686-7280
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
043833
CT
208C00000X
Colon & Rectal Surgery Physician
Primary
E5656
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169638001
—
AR
Enumeration date
01/16/2007
Last updated
09/19/2008
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