Provider Demographics
NPI:1164658571
Name:LINSON, LARRY G (DO)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:G
Last Name:LINSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21850
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-1850
Mailing Address - Country:US
Mailing Address - Phone:501-609-2368
Mailing Address - Fax:501-609-2248
Practice Address - Street 1:ONE MERCY LANE
Practice Address - Street 2:STE 106
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6443
Practice Address - Country:US
Practice Address - Phone:501-609-2368
Practice Address - Fax:501-609-2248
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE8332207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR204643003Medicaid