Provider Demographics
NPI:1548675036
Name:LITTLE, DUSTIN LEROY (DO)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:LEROY
Last Name:LITTLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:715 N FOREMAN ST
Mailing Address - Street 2:
Mailing Address - City:VINITA
Mailing Address - State:OK
Mailing Address - Zip Code:74301-1422
Mailing Address - Country:US
Mailing Address - Phone:918-256-9731
Mailing Address - Fax:918-256-8234
Practice Address - Street 1:715 N FOREMAN ST
Practice Address - Street 2:
Practice Address - City:VINITA
Practice Address - State:OK
Practice Address - Zip Code:74301-1422
Practice Address - Country:US
Practice Address - Phone:918-256-8731
Practice Address - Fax:918-256-8234
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2025-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK5769207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine