Individual
DR. LARRY J LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 S TERRACE AVE, NEWARK, OH 43055-1355
(740) 281-3205
(740) 281-3743
Mailing address
71 S TERRACE AVE, NEWARK, OH 43055-1355
(740) 281-3205
(740) 281-3743
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35047090
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0476435
—
OH
Enumeration date
10/24/2007
Last updated
03/10/2012
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