Provider Demographics
NPI:1780891150
Name:PEEPLES, RAYMOND E III (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:E
Last Name:PEEPLES
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:9601 BAPTIST HEALTH DR
Mailing Address - Street 2:MEDICAL TOWER 1, 11TH FLOOR
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6321
Mailing Address - Country:US
Mailing Address - Phone:501-786-0070
Mailing Address - Fax:501-227-9151
Practice Address - Street 1:9601 BAPTIST HEALTH DR
Practice Address - Street 2:MEDICAL TOWER 1, 11TH FLOOR
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6321
Practice Address - Country:US
Practice Address - Phone:501-227-5240
Practice Address - Fax:501-227-9151
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2013-09-17
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
ARE-57352085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR292731USVHOtherMEDICARE PTAN
AR193448001Medicaid