person
Dr. Diana T. Jucas, MD
Specialist in El Dorado, Arkansas
NPI 1255448601

Diana T. Jucas is a Specialist based in El Dorado, AR. Diana T. Jucas practices in El Dorado, AR and has the professional credentials of MD. The NPI Number for Diana T. Jucas is 1255448601 and holds a License No. C4290 (Arkansas).

The current practice location address for Diana T. Jucas is 700 W Grove St, El Dorado, AR and can be reached out via phone at 870-862-1577. You can also correspond with Diana T. Jucas through the mailing address at 611 THOMPSON AVE, EL DORADO, AR - 71730-4557 (mailing address contact number: 870-862-1577).

Location: 700 W Grove St, El Dorado, AR, 71730-4557
person
Provider Profile Details
NPI Number
1255448601
Provider Name
Diana T. Jucas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
700 W Grove St, El Dorado, AR, 71730-4557
Phone Number
870-862-1577
Fax Number
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5C070 01 AR GRP.'S AR MCARE PROV.#
C4290 01 AR STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
700 W Grove St
City
State
Zip
71730-4416
Phone Number
870-862-1577
Fax Number
person
Provider Business Mailing Address Details
Address
611 Thompson Ave
City
State
Zip
71730-4557
Phone Number
870-862-1577
Fax Number
870-862-5916
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
C4290 (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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