Individual
IROL TORIN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S UNIVERSITY AVE STE 804, LITTLE ROCK, AR 72205-5302
(501) 907-1710
(501) 907-0914
Mailing address
500 S UNIVERSITY AVE STE 804, LITTLE ROCK, AR 72205-5302
(501) 907-1710
(501) 907-0914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-1831
AR
208000000X
Pediatrics Physician
E-1831
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-20220
UNITED HEALTHCARE
AR
01
—
110173743
RAILROAD MEDICARE
—
05
—
134197001
—
AR
01
—
17967000000
QUALCHOICE
AR
Enumeration date
07/07/2005
Last updated
11/14/2018
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