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Individual

DR. RAYMOND KENT GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
620 NORTH MAIN, HARRISON, AR 72601-2926
(870) 365-2000
(417) 347-2149
Mailing address
1102 WEST 32ND STREET, JOPLIN, MO 64804
(417) 347-1111
(417) 347-2149

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
117039
MO
207P00000X
Emergency Medicine Physician
Primary
E-5562
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175566003
AR
05
204642102
MO
05
243419306
MO
01
5H314
AR BLUE CROSS
Enumeration date
06/15/2006
Last updated
05/20/2014
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