Most Relevant Information
Provider Data
NPI Number: | 1003002510 |
Provider Name: | THOMAS RICHARD DEGRAFF D.O. |
Entity Type: | Individual |
Taxonomy Code: | 2083A0100X |
Specialty: | Preventive Medicine |
License Number: | A141807 |
Most Important Dates
Enumeration Date: | 09/18/2007 |
Last Updated: | 04/22/2020 |
Provider Practice Location
101 CMS WILLIAMS DRIVE
LITTLE ROCK AFB
AR
720993427
Practice Location Phone/Fax
Phone: | 5019876951 |
Fax: |
Provider Mailing Location
101 CMS WILLIAMS DRIVE
LITTLE ROCK AFB
AR
720990001
Provider Mailing Phone/Fax
Phone: | 5019876951 |
Fax: |