NPI 1609996982

Larry K Cruel, DPM

Practitioner Primary Podiatric Medicine Podiatrist Jackson, MS

Practice location

Address: 4510 Office Park Dr, Jackson, MS 39206-6016
Phone: (601) 981-3001
Fax: (601) 981-8999

Registered specialties

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 80152 (MS)

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1609996982
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2007
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.