Individual
VIVIAN DIANE WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(800) 893-9698
Mailing address
200 CORPORATE BLVD, STE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S01011
AR
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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