Organization
RAYMED PA
Active
Organization
RAYMED PA
Active
Other names
White Hall Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KONSTANTIN I GUBRIJ M.D. (PRESIDENT)
(501) 410-3696
Entity
Organization
Contact information
Practice address
7250 SHERIDAN ROAD, WHITE HALL, AR 71602-0000
(501) 749-8892
Mailing address
PO BOX 251753, LITTLE ROCK, AR 72225-1753
(501) 410-3696
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
E7850
AR
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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