Individual
GREGORY RYAN MEHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-7036
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187246001
—
AR
Enumeration date
09/12/2007
Last updated
08/29/2016
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