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Contact Information

LARRY A JOHNSON JR, MD
225 E JACKSON AVE
JONESBORO, AR72401-3119
 Phone: 870-932-0639
 Fax: 870-932-0526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for LARRY A JOHNSON JR · (Male)

NPI Number 1841292000
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2005
Last updated 11/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E3004
  • AR Medicaid 149994001
  • MO Medicaid 208791806
Hospital affiliation(s)
  • FIVE RIVERS MEDICAL CENTER - (Acute Care)
    2801 MEDICAL CENTER DRIVE
    POCAHONTAS, AR 72455
  • GREAT RIVER MEDICAL CENTER - (Acute Care)
    1520 N DIVISION STREET
    BLYTHEVILLE, AR 72315
  • LAWRENCE MEMORIAL HOSPITAL - (Critical Access)
    1309 WEST MAIN
    WALNUT RIDGE, AR 72476
  • PIGGOTT COMMUNITY HOSPITAL - (Critical Access)
    1206 GORDON DUCKWORTH DRIVE
    PIGGOTT, AR 72454
  • ST BERNARDS MEDICAL CENTER - (Acute Care)
    225 E JACKSON
    JONESBORO, AR 72401
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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