Individual
DUSTIN LARAY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2037 W MAIN ST, CABOT, AR 72023-7479
(501) 843-4555
(501) 743-1550
Mailing address
2037 W MAIN ST, CABOT, AR 72023-7479
(501) 843-4555
(501) 743-1550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-16655
AR
208000000X
Pediatrics Physician
E-16655
AR
Other
Enumeration date
03/20/2019
Last updated
06/28/2023
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