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Individual

DR. DENNIS W LUTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1117 MCLAIN ST, SUITE 500, NEWPORT, AR 72112-3500
(870) 523-9100
(870) 523-9107
Mailing address
1117 MCLAIN ST, SUITE 500, NEWPORT, AR 72112-3500
(870) 523-9100
(870) 523-9107

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
C5215
AR
207X00000X
Orthopaedic Surgery Physician
Primary
C-5215
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105427001
AR
01
53247C207
MEDICARE
AR
Enumeration date
01/06/2006
Last updated
05/01/2012
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