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Individual

LUIS A JUNCOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205
(501) 257-1000
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19924
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
19924
MS
207RH0005X
Hypertension Specialist Physician
19924
MS
207RN0300X
Nephrology Physician
Primary
19924
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00059370
MS
05
007023800
MN
05
116718
AL
05
1362751
LA
Enumeration date
02/14/2006
Last updated
08/26/2019
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