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Organization

LARRY S. FELTS, M.D. PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY STEPHEN FELTS M.D. (PRESIDENT)
(870) 931-0434
Entity
Organization

Contact information

Practice address
4508 STADIUM BLVD, SUITE A, JONESBORO, AR 72404-9675
(870) 931-0434
(870) 931-0435
Mailing address
PO BOX 17357, JONESBORO, AR 72403-6725
(870) 931-0434
(870) 931-0435

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
11/30/2010
Last updated
11/30/2010
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