Provider Demographics
NPI:1881686962
Name:JOSEPH, RALPH F II (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:F
Last Name:JOSEPH
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 23410
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72221-3410
Mailing Address - Country:US
Mailing Address - Phone:012-241-6905
Mailing Address - Fax:501-224-1927
Practice Address - Street 1:10301 KANIS RD STE 1
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6205
Practice Address - Country:US
Practice Address - Phone:501-562-4838
Practice Address - Fax:501-562-1958
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC6169207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR112128001Medicaid
AR120134OtherUNITED HEALTHCARE
AR52783OtherBLUE CROSS BLUE SHIELD
AR11121000000OtherQUALCHOICE
AR52783Medicare ID - Type Unspecified
AR120134OtherUNITED HEALTHCARE