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Individual

FRED LYLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1629 AIRPORT RD STE B, HOT SPRINGS, AR 71913-8069
(501) 767-0075
(501) 760-2739
Mailing address
1661 AIRPORT RD STE D, HOT SPRINGS, AR 71913-8184
(501) 624-7500
(501) 625-7777

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C6852
AR
207Q00000X
Family Medicine Physician
Primary
C6852
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110131001
AR
Enumeration date
05/11/2006
Last updated
05/10/2021
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