Individual
JEFFREY KIRK GRYNWALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 604-6900
(501) 604-6941
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 604-6900
(501) 604-6941
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
41254
KY
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
E-8270
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201742001
—
AR
01
—
E-8270
ARKANSAS MEDICAL LICENSE
AR
Enumeration date
08/20/2006
Last updated
01/11/2019
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