Provider Demographics
NPI:1972762045
Name:IZARD, RALPH SIDNEY JR (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:SIDNEY
Last Name:IZARD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9219 SIBLEY HOLE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-8874
Mailing Address - Country:US
Mailing Address - Phone:501-455-4977
Mailing Address - Fax:501-455-3636
Practice Address - Street 1:9219 SIBLEY HOLE RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-8874
Practice Address - Country:US
Practice Address - Phone:501-455-4977
Practice Address - Fax:501-455-3636
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC4334207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine