Individual
MARK EUGENE LAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 MCGOWAN CT, HOT SPRINGS NATIONAL PARK, AR 71913-6452
(501) 525-9675
(501) 525-7059
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 525-9675
(501) 525-7059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N8422
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124240003
—
AR
Enumeration date
03/24/2006
Last updated
02/28/2017
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