Individual
LARRY PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3214 E RACE AVE, SEARCY, AR 72143-4810
(501) 268-6121
Mailing address
PO BOX 144, SEARCY, AR 72145-0144
(501) 279-2426
(501) 279-2501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C5298
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129983001
—
AR
01
—
5K151
BLUE CROSS BLUE SHIELD
AR
01
—
P00432084
RR MEDICARE GRP# CD7786
AR
Enumeration date
06/02/2006
Last updated
05/22/2008
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