Individual
DR. RICKEY C GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4313 W MARKHAM ST, LITTLE ROCK, AR 72205-4023
(501) 686-9000
(501) 686-9070
Mailing address
4313 W MARKHAM ST, LITTLE ROCK, AR 72205-4023
(501) 686-9000
(501) 686-9070
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-4594
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06070016500
QUALCHOICE
AR
01
—
P00361481
RAILROAD MEDICARE
AR
Enumeration date
09/26/2006
Last updated
07/13/2007
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