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“Aerospace Medicine Physician” (Little Rock Afb, AR)

Location: Little Rock Afb, AR
Taxonomy: Aerospace Medicine Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1003002510 — DR. THOMAS RICHARD DEGRAFF III D.O.
Practice Location Address:
101 CMS WILLIAMS DRIVE
LITTLE ROCK AFB AR
72099-3427
Practice Phone: 501-987-6951
1639799158 — MR. PAUL A BLAKE IV DO (AS OF 5/31/2020)
Practice Location Address:
1090 ARNOLD DR
LITTLE ROCK AFB AR
72099-4933
Practice Phone: 501-987-7319

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