NPI
Larry K Cruel
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- DPM
- Type
- Individual
- Enumeration date
- 2007-03-30
- Last updated
- 2008-06-30
Specialties
Licenses
- License MS
- 80152
Location
- Practice location
- 4510 Office Park Dr
- City
- Jackson MS
- Postal code
- 39206-6016
- Phone
- (601) 981-3001
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
Found on the OIG exclusion list (NPI match).
Nearby
Other NPIs in Jackson, MS. 8,701 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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