Diwakar T Pulisetty M.D.

NPI 1073513040 - Orthopaedic Surgery - 207XS0106X

NPI Details
NPI 1073513040
Gender Male
Enumeration Date 07/29/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1117 MCLAIN ST
SUITE500
NEWPORT AR, 72112-3500, US
Phone (870) 523-6464
Fax
Business Location
1000 WELDON AVE
WELDON AR, 72112-9461, US
Phone (870) 744-9989
Fax
Toxanomy
Taxonomy Code 207XS0106X
License State Arkansas
License Number E 2875
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According to our database, Dr. Diwakar T Pulisetty M.D. NPI is 1073513040, taxonomy code is 207XS0106X and license number is E 2875, license state is located at Arkansas. Diwakar T Pulisetty M.D. physically located at 1117 Mclain St, Newport AR, 72112-3500. NPI Number Diwakar T Pulisetty M.D. has the Individual type.

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1073513040 NPI number is provided on an as is basis without warranty of any kind. 1073513040 is maintained by the National Plan & Provider Enumeration System. The contents of Diwakar T Pulisetty M.D. are for informational purposes only.