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Individual

PHILIP JAY MENDEZ FRAYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 W 42ND AVE, PINE BLUFF, AR 71603-7018
(870) 560-6534
Mailing address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-3399
(501) 364-3929

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
66505
TN
208000000X
Pediatrics Physician
Primary
E-19475
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
293999001
AR
Enumeration date
04/03/2019
Last updated
02/23/2026
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