Individual
DR. JENNINGS R BOYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11412 HURON LN, LITTLE ROCK, AR 72211-1847
(501) 302-1402
Mailing address
PO BOX 23037, LITTLE ROCK, AR 72221-3037
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
MD.205264
LA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
E-7894
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
05/20/2007
Last updated
01/12/2023
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