Individual
RILEY CARLTON WADE GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 W STATE ST, CARAWAY, AR 72419-8553
(870) 956-0200
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
(870) 856-2100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
232785
AR
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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