Rex Edward Luttrell MD PA

NPI #1548276223 in Jacksonville, Arkansas

Provider Information

NPI Number: 1548276223
Entity Type: Organization
Organization Name: Rex Edward Luttrell MD PA
Primary Specialty: Surgery
Enumeration Date: Aug 1, 2006
Last Updated: Aug 25, 2009

Practice Location

Address: 1300 BRADEN ST
Address 2: POD B
City: Jacksonville
State: Arkansas
ZIP Code: 72076-3719
Phone: (501) 978-4343

Authorized Official

Name: REX E LUTTRELL, MD
Title: OWNER
Phone: (501) 978-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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