Rex E Luttrell in Jacksonville - Surgery

Rex E Luttrell - NPI 1477559680

Rex E Luttrell is a Surgery in Jacksonville, Arkansas. Rex E Luttrell practices all healthcare services and medical treatments related to Surgery. The NPI Number for Rex E Luttrell is 1477559680. The last update date is 2012-10-25.

Rex E Luttrell's current location address is Po Box 5209, Jacksonville, Arkansas. You can contact this provider via phone number 5019784343 and fax number 5019758995. The mailing address for Rex E Luttrell is Po Box 5209, Jacksonville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Rex E Luttrell
Address Po Box 5209, Jacksonville, Arkansas
Phone Number 5019784343
Fax Number 5019758995
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1477559680
Provider Enumeration Date 2005-06-22
Last Updated Date 2012-10-25

Provider Mailing Address Detail

Address Po Box 5209
City Jacksonville
State Arkansas (AR)
Post Code 720785209
Phone Number 5019784343
Fax Number 5019758995

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No C-6721
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
123268001 AR --
16173000000 AR QUALCHOICE
17-20039 AR UNITED HEALTHCARE
P01071366 RRMEDICARE
P00004959 RAILROAD MEDICARE

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FAQs about Rex E Luttrell

What is the unique 10-digit identifier code assigned to Rex E Luttrell by the Centers for Medicare & Medicaid Services?

The Rex E Luttrell has been issued the NPI (National Provider Identifier) 1477559680 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Rex E Luttrell is physically located?

The Rex E Luttrell is situated at the following address: Po Box 5209, Jacksonville, AR 720785209.

What is Rex E Luttrell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Rex E Luttrell's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1477559680 to Rex E Luttrell?

The Centers for Medicare & Medicaid Services assigned the 1477559680 to Rex E Luttrell on 2005-06-22.

As of what date were the Rex E Luttrell's details last updated?

The information pertaining to the Rex E Luttrell, including its address, specialty, and other details, was most recently updated on 2012-10-25.

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