Individual
RALPH JERRY MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 TURKEY CREEK RD, MOUNTAIN VIEW, AR 72560-7471
(870) 591-6833
Mailing address
325 TURKEY CREEK RD, MOUNTAIN VIEW, AR 72560-7471
(870) 591-6833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C4122
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/29/2011
Last updated
08/29/2011
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