Individual
DR. EUGENE R LITTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1013 E SPRING ST, ST MARYS, OH 45885-2447
(419) 394-8664
(419) 394-1148
Mailing address
1013 E SPRING ST, ST MARYS, OH 45885-2447
(419) 394-8664
(419) 394-1148
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-00-2287-L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601816
—
OH
01
—
480004481
MEDICARE RAILROAD
OH
Enumeration date
05/23/2005
Last updated
12/15/2009
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