Jim Mark Ingram M.D.

NPI 1093707176 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1093707176
Gender Male
Enumeration Date 08/16/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
18 CORPORATE HILL DR
SUITE 110
LITTLE ROCK AR, 72205-4565, US
Phone (501) 224-1156
Fax (501) 801-5561
Business Location
18 CORPORATE HILL DRIVE
SUITE 110
LITTLE ROCK AR, 72205-4565, US
Phone (501) 224-1156
Fax (501) 801-5561
Toxanomy
Taxonomy Code 207K00000X
License State Arkansas
License Number C7708
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According to our database, Dr. Jim Mark Ingram M.D. NPI is 1093707176, taxonomy code is 207K00000X and license number is C7708, license state is located at Arkansas. Jim Mark Ingram M.D. physically located at 18 Corporate Hill Dr, Little Rock AR, 72205-4565. NPI Number Jim Mark Ingram M.D. has the Individual type.

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1093707176 NPI number is provided on an as is basis without warranty of any kind. 1093707176 is maintained by the National Plan & Provider Enumeration System. The contents of Jim Mark Ingram M.D. are for informational purposes only.