Dr. Thomas Richard Degraff III
General Practice Physician
101 Cms Williams Drive
Little Rock Afb
, Arkansas 72099-3427
Dr. Thomas Richard Degraff III
General Practice Physician
101 Cms Williams Drive
Little Rock Afb
, Arkansas 72099-3427
(501) 987-6951
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Thomas Richard Degraff III
- 101 Cms Williams Drive
- Little Rock Afb, AR
- Zip : 72099-0001
- Phone : (501) 987-6951
Second Address
- Dr. Thomas Richard Degraff III
- 101 Cms Williams Drive
- Little Rock Afb, AR
- Zip : 72099-3427
- Phone : (501) 987-6951
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | E-8909 | AR |
National Provider Identifier
| NPI | 1003002510 |
|---|---|
| Provider Name | Dr. Thomas Richard Degraff III |
| First Address | Little Rock Afb, AR 72099-0001 |
| Second Address | Little Rock Afb, AR 72099-3427 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2007 |
| Last Update Date | 22/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.