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Dr. Larry K Cruel, DPM
Primary Podiatric Medicine Podiatrist in Jackson, Mississippi
NPI 1609996982

Larry K Cruel is a Primary Podiatric Medicine Podiatrist based in Jackson, MS and is specialized in Primary Podiatric Medicine. Larry K Cruel practices in Jackson, MS and has the professional credentials of DPM. The NPI Number for Larry K Cruel is 1609996982 and holds a License No. 80152 (Mississippi).

The current practice location address for Larry K Cruel is 4510 Office Park Dr, Jackson, MS and can be reached out via phone at 601-981-3001 and via fax at 601-981-8999. You can also correspond with Larry K Cruel through the mailing address at 4510 OFFICE PARK DR, JACKSON, MS - 39206-6016 (mailing address contact number: 601-981-3001).

Location: 4510 Office Park Dr, Jackson, MS, 39206-6016
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Provider Profile Details
NPI Number
1609996982
Provider Name
Larry K Cruel
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4510 Office Park Dr, Jackson, MS, 39206-6016
Phone Number
601-981-3001
Fax Number
601-981-8999
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00120141 05 MS
institution
Provider Business Practice Location Address Details
Address
4510 Office Park Dr
City
State
Zip
39206-6016
Phone Number
601-981-3001
Fax Number
601-981-8999
person
Provider Business Mailing Address Details
Address
4510 Office Park Dr
City
State
Zip
39206-6016
Phone Number
601-981-3001
Fax Number
601-981-8999
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
80152 (Mississippi)
Definition
Definition to come...
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