Individual
DR. RICKEY D MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9800 BAPTIST HEALTH DR STE 200, LITTLE ROCK, AR 72205-6243
(501) 219-0900
(501) 312-4750
Mailing address
2200 BROADWAY ST, LITTLE ROCK, AR 72206-1358
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
C6445
AR
Other
Enumeration date
11/18/2005
Last updated
04/08/2019
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