Individual
CONNOR RAYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-5175
(479) 314-3185
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-5175
(479) 314-3185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-15336
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2019
Last updated
07/13/2022
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