Individual
DR. DAVID AARON CARROUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W 40TH AVE, C/O BRENNA WOODRUFF, PINE BLUFF, AR 71603-6301
(870) 541-7220
(870) 541-7406
Mailing address
1600 W 40TH AVE, C/O BRENNA WOODRUFF, PINE BLUFF, AR 71603-6301
(870) 541-7220
(870) 541-7406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4825
AR
207R00000X
Internal Medicine Physician
P2606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201740001
—
AR
01
—
5UU60
BCBS
AR
Enumeration date
08/16/2006
Last updated
04/10/2015
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