Organization
PRIME MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY K PARKER MD (PRESIDENT)
(501) 227-8422
Entity
Organization
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 690, LITTLE ROCK, AR 72205-6328
(501) 227-8422
(501) 537-2399
Mailing address
9601 BAPTIST HEALTH DR STE 690, LITTLE ROCK, AR 72205-6328
(501) 227-8422
(501) 537-2399
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238324002
—
AR
Enumeration date
08/19/2019
Last updated
10/28/2020
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