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Individual

LARRY PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1298 OLD COVE RD, RUSSELLVILLE, AR 72802-1563
(479) 968-4668
Mailing address
1298 OLD COVE RD, RUSSELLVILLE, AR 72802-1563
(479) 968-4668

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
C5442
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103581001
AR
01
54154
BCBS
AR
Enumeration date
06/27/2006
Last updated
05/30/2013
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