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Individual

RICKEY OLVIN RYALS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 LILE CT, SUITE 101, LITTLE ROCK, AR 72205-6242
(501) 225-7711
(501) 225-7108
Mailing address
1 LILE CT, SUITE 101, LITTLE ROCK, AR 72205-6242
(501) 225-7711
(501) 225-7108

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R3273
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118659001
AR
Enumeration date
03/28/2006
Last updated
06/09/2014
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