Individual
DR. DERRICK ANDRE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W. MAPLE, SUITE 102, SPRINGDALE, AR 72764-5370
(479) 750-6585
(479) 757-2963
Mailing address
601 W. MAPLE, SUITE 102, SPRINGDALE, AR 72764-5370
(479) 750-6585
(479) 757-2963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E6424
AR
Other
Enumeration date
06/29/2007
Last updated
10/26/2011
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