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LARKUS PESNELL MD

>> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1033193966

Individual Registrant:
 LARKUS  PESNELL MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1127 MAIN ST  VILONIA, AR 72173-9525 US
Tel: 501-796-6740  Fax: 501-796-6744

Contact information for business:
117 S 2ND ST PO BOX 497 AUGUSTA, AR 72006-2309 US
Tel: 870-347-2534  Fax: 870-347-3492

Registration Information:
NPI: 1033193966
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
ARC4135
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
ARC-4135

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
100081520AOK05
106481001AR05
ARKANSAS BREASTCARE770119701AR01




HEALTH CARE JOBS AR - Page 1



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