Walter, Dustin Laray
Walter, Dustin Laray is an individual health care provider with primary practice located at 2037 W Main St , Cabot AR 72023-7479. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Walter, Dustin Laray can be contacted via phone (501) 843-4555.Contact Information
Primary practice address
2037 W Main St
Cabot AR 72023-7479
Phone: (501) 843-4555
Fax: (501) 743-1550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-16655 | Arkansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E-16655 | Arkansas |
Profile Details
| NPI number | 1295295806 |
|---|---|
| LBN Legal business name | Walter, Dustin Laray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2019 |
| Last updated | Jun 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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