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David C Jacks Md Pa
Specialist in Pine Bluff, Arkansas
NPI 1083882633

David C Jacks Md Pa is a Specialist based in Pine Bluff, AR. David C Jacks Md Pa practices in Pine Bluff, AR. The NPI Number for David C Jacks Md Pa is 1083882633 and holds a License No. C5066 (Arkansas).

The current practice location address for David C Jacks Md Pa is 4303 S Mulberry St, Pine Bluff, AR and can be reached out via phone at 870-535-4221 and via fax at 870-535-4228.

Location: 4303 S Mulberry St, Pine Bluff, AR, 71603-7017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083882633
Provider Name
David C Jacks Md Pa
Credential
Provider Entity Type
Organization
Address
4303 S Mulberry St, Pine Bluff, AR, 71603-7017
Phone Number
870-535-4221
Fax Number
870-535-4228
Provider Enumeration Date
02/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104930001 05 AR
institution
Provider Business Practice Location Address Details
Address
4303 S Mulberry St
City
Pine Bluff
State
Arkansas
Zip
71603-7017
Phone Number
870-535-4221
Fax Number
870-535-4228
person
Provider Business Mailing Address Details
Address
4303 S Mulberry St
City
Pine Bluff
State
Arkansas
Zip
71603-7017
Phone Number
870-535-4221
Fax Number
870-535-4228
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C5066 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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