Larkus Pesnell MD

NPI 1033193966 - Anesthesiology - 207L00000X

NPI Details
NPI 1033193966
Gender Male
Enumeration Date 12/05/2005
Last Updated 04/02/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
CONWAY AR, 72032-4785, US
Phone (501) 932-9010
Fax (501) 932-0020
Business Location
117 S 2ND ST
PO BOX 497
AUGUSTA AR, 72006-2309, US
Phone (870) 347-2534
Fax (870) 347-3492
Taxonomy Code 207L00000X
License State Arkansas
License Number C4135
Remove 1033193966 NPI Number

According to our database, Larkus Pesnell MD NPI is 1033193966, taxonomy code is 207L00000X and license number is C4135, license state is located at Arkansas. Larkus Pesnell MD physically located at 1500 Museum Rd, Conway AR, 72032-4785. NPI Number Larkus Pesnell MD has the Individual type.

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1033193966 NPI number is provided on an as is basis without warranty of any kind. 1033193966 is maintained by the National Plan & Provider Enumeration System. The contents of Larkus Pesnell MD are for informational purposes only.