Individual
M CAREY ROACH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11415 EXECUTIVE CENTER DR, LITTLE ROCK, AR 72211
(501) 224-5220
(501) 228-9828
Mailing address
11415 EXECUTIVE CENTER DR, LITTLE ROCK, AR 72211
(501) 224-5220
(501) 228-9828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E2521
AR
208000000X
Pediatrics Physician
E2521
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140058001
—
AR
Enumeration date
07/06/2005
Last updated
08/16/2013
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