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Individual

DAVID G RATCLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3 EAST APPLEBY ROAD, SUITE 301, FAYETTEVILLE, AR 72703
(479) 404-1200
(479) 463-1201
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N-8080
AR
207R00000X
Internal Medicine Physician
N8080
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119018001
AR
01
54545
BLUE
AR
Enumeration date
05/11/2006
Last updated
02/16/2018
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