David Jacks M.D.

NPI 1093735110 - Urology - 208800000X

NPI Details
NPI 1093735110
Gender Male
Enumeration Date 07/20/2006
Last Updated 07/11/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
4303 S MULBERRY ST
PINE BLUFF AR, 71603-7017, US
Phone (870) 535-4221
Fax (870) 535-4228
Business Location
4303 S MULBERRY ST
PINE BLUFF AR, 71603-7017, US
Phone (870) 535-4221
Fax (870) 535-4228
Toxanomy
Taxonomy Code 208800000X
License State Arkansas
License Number C5066
Remove 1093735110 NPI Number
 

According to our database, David Jacks M.D. NPI is 1093735110, taxonomy code is 208800000X and license number is C5066, license state is located at Arkansas. David Jacks M.D. physically located at 4303 S Mulberry St, Pine Bluff AR, 71603-7017. NPI Number David Jacks M.D. has the Individual type.

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1093735110 NPI number is provided on an as is basis without warranty of any kind. 1093735110 is maintained by the National Plan & Provider Enumeration System. The contents of David Jacks M.D. are for informational purposes only.