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Individual

RICHARD MARK RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2100 W CLINCH AVE, STE 410, KNOXVILLE, TN 37916-2219
(865) 521-6005
(865) 521-6088
Mailing address
11939 RACELAND WAY, FARRAGUT, TN 37934-6664
(865) 671-1347
(865) 521-6088

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
E3414
AR
207YP0228X
Pediatric Otolaryngology Physician
E3414
AR
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD43893
TN
207YP0228X
Pediatric Otolaryngology Physician
ME98192
FL

Other

Enumeration date
10/13/2006
Last updated
01/15/2009
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