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Individual

LUIS F BARANDIARAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 LESLIE ST, STE 6, NASHVILLE, AR 71852-4000
(870) 845-3757
(870) 451-9713
Mailing address
PO BOX 508, NASHVILLE, AR 71852-0508
(870) 845-3757
(870) 451-9713

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E3582
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03030015400
QUAL CHOICE
AR
05
148816001
AR
01
770278701
BREASTCARE
AR
01
800040342
TRICARE
AR
01
E3582
AR MEDICAL BOARD LIC
AR
01
P00053036
RAILROAD MEDICARE
Enumeration date
06/16/2005
Last updated
09/17/2008
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