Larry Henle Waller in Little Rock - Obstetrics & Gynecology

Larry Henle Waller - NPI 1710996996

Larry Henle Waller is a Obstetrics & Gynecology in Little Rock, Arkansas. Larry Henle Waller practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Larry Henle Waller is 1710996996. The last update date is 2007-07-09.

Larry Henle Waller's current location address is 500 S University Ave, Little Rock, Arkansas. You can contact this provider via phone number 5016039600 and fax number 5016030042. The mailing address for Larry Henle Waller is 500 S University Ave, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Henle Waller
Address 500 S University Ave, Little Rock, Arkansas
Phone Number 5016039600
Fax Number 5016030042
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1710996996
Provider Enumeration Date 2006-08-05
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 500 S University Ave
City Little Rock
State Arkansas (AR)
Post Code 722055302
Phone Number 5016039600
Fax Number 5016030042

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No E0253
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4828 HEALTHSOURCE
16047000000 QUALCHOICE
7420056 UNITED HEALTHCARE
125849001 AR --
71082800072205A TRICARE WPS
137315002 AR --

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FAQs about Larry Henle Waller

What is the unique provider identifier assigned to Larry Henle Waller?

The Larry Henle Waller has been issued the NPI (National Provider Identifier) 1710996996 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Larry Henle Waller is physically located?

The Larry Henle Waller is physically situated at the following address: 500 S University Ave, Little Rock, AR, 722055302.

What is the Larry Henle Waller's area of specialization and corresponding taxonomy classification?

The Larry Henle Waller's specialty field is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1710996996 assigned to Larry Henle Waller?

The Larry Henle Waller was issued its 1710996996 on 2006-08-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Larry Henle Waller most recently updated or revised?

The information pertaining to Larry Henle Waller, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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