Individual
DR. LORETTA DEPALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-7502
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-7502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C7914
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125797001
—
AR
01
—
1962457390
BCBS
AR
Enumeration date
05/24/2006
Last updated
02/01/2023
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