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Individual

CHARLES A LARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MERCY LN, SUITE 201, HOT SPRINGS, AR 71913-6442
(501) 609-2222
(501) 321-9689
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 627-1800
(501) 627-1899

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C6436
AR
208M00000X
Hospitalist Physician
C-6436
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113872001
AR
Enumeration date
08/09/2005
Last updated
03/20/2018
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