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Organization

MARY K RICHARDS MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY K RICHARDS (OWNER)
(501) 666-5000
Entity
Organization

Contact information

Practice address
5800 W 10TH ST, SUITE 600, LITTLE ROCK, AR 72204-1755
(501) 666-5000
Mailing address
5800 W 10TH ST, SUITE 600, LITTLE ROCK, AR 72204-1755
(501) 666-5000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C5156
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105120002
AR
Enumeration date
03/28/2006
Last updated
09/28/2007
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