Individual
DR. CECIL MICHAEL DUPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, DC
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-6191
(501) 257-6419
Mailing address
4300 W 7TH (117/LR), LITTLE ROCK, AR 72205
(501) 257-6191
(501) 257-6419
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1125
AR
225100000X
Physical Therapist
515
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1334497
UNITED HEALTHCARE
AR
01
—
1421619
UNITED HEALTHCARE
AR
01
—
14376000000
QUALCHOICE
AR
01
—
P00135320
MEDICARE RAILROAD
AR
Enumeration date
08/25/2005
Last updated
02/04/2016
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