Dr. Jennings R Boyette, MD
Otolaryngology, Plastic Surgery within the Head & Neck in Little Rock, AR. Individual provider (NPI-1).
NPI number1922216084
StatusActive
Last updated in NPPESJan 12, 2023
Details
- NPI
- 1922216084
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennings R Boyette
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2007
- Certification date
- Jan 12, 2023
- Last updated
- Jan 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | E-7894 | AR | Yes |
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | MD.205264 | LA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | AR |
Practice location
11412 Huron LnLittle Rock, AR 72211-1847
Phone 501-302-1402
Mailing address
Po Box 23037Little Rock, AR 72221-3037
Other practice locations
5921 Riley Park Dr
Fort Smith, AR 72916-6103
Fort Smith, AR 72916-6103
Phone 501-302-1402
2062 Highway 62 W
Mountain Home, AR 72653-7656
Mountain Home, AR 72653-7656
Phone 501-302-1402
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