Individual
DR. LARRY D COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3399 BLACK FOREST DR, SUITE 2, FAYETTEVILLE, AR 72704-6541
(479) 757-5056
(479) 757-5057
Mailing address
3399 BLACK FOREST DR, SUITE 2, FAYETTEVILLE, AR 72704-6541
(479) 757-5056
(479) 757-5057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-7705
AR
207Q00000X
Family Medicine Physician
R8504
IA
Other
Enumeration date
12/23/2008
Last updated
09/09/2020
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