Provider Demographics
NPI:1386825354
Name:RICE, PEYTON E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PEYTON
Middle Name:E
Last Name:RICE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3401 SPRINGHILL DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2924
Mailing Address - Country:US
Mailing Address - Phone:501-753-4593
Mailing Address - Fax:501-753-6713
Practice Address - Street 1:3401 SPRINGHILL DR
Practice Address - Street 2:SUITE 240
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2924
Practice Address - Country:US
Practice Address - Phone:501-753-4593
Practice Address - Fax:501-753-6713
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2010-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC4969208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
826343255OtherPAMETTO MEDICARE
AR104830001Medicaid
826343255OtherPAMETTO MEDICARE
AR54358Medicare PIN