Individual
REX E LUTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 BRADEN ST, POD B, JACKSONVILLE, AR 72076-3719
(501) 978-4343
(501) 975-8995
Mailing address
PO BOX 5209, JACKSONVILLE, AR 72078-5209
(501) 978-4343
(501) 975-8995
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C-6721
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123268001
—
AR
01
—
16173000000
QUALCHOICE
AR
01
—
17-20039
UNITED HEALTHCARE
AR
01
—
P00004959
RAILROAD MEDICARE
—
01
—
P01071366
RRMEDICARE
—
Enumeration date
06/22/2005
Last updated
10/25/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us