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Contact Information

JOHN R LARSON, MD
1215 SIDNEY ST
SUITE 203
BATESVILLE, AR72501-7203
 Phone: 870-262-6155
 Fax: 870-262-6152
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for JOHN R LARSON · (Male)

NPI Number 1104864354
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2006
Last updated 05/14/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-7818
  • AR License # E7818
  • AR Medicaid 195965001
  • AR Other 51281 BLUE CROSS BLUE SHIELD
  • AR Other 264659YMPR MEDICARE
  • AR Other E-7818 STATE LICENSE
Hospital affiliation(s)
  • WHITE RIVER MEDICAL CENTER - (Acute Care)
    1710 HARRISON STREET
    BATESVILLE, AR 72503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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