Matthew Patrick Jackson MD

NPI 1083689855 - Family Medicine - 207Q00000X

NPI Details
NPI 1083689855
Gender Male
Enumeration Date 02/23/2006
Last Updated 01/19/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
NEWPORT AR, 72112-3638, US
Phone (870) 523-9337
Fax (870) 217-0312
Business Location
PO BOX 1960
Phone (870) 523-9337
Fax (870) 336-1484
Taxonomy Code 207Q00000X
License State Arkansas
License Number E2332
Remove 1083689855 NPI Number

According to our database, Dr. Matthew Patrick Jackson MD NPI is 1083689855, taxonomy code is 207Q00000X and license number is E2332, license state is located at Arkansas. Matthew Patrick Jackson MD physically located at 1500 Mclain, Newport AR, 72112-3638. NPI Number Matthew Patrick Jackson MD has the Individual type.

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1083689855 NPI number is provided on an as is basis without warranty of any kind. 1083689855 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Patrick Jackson MD are for informational purposes only.