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Dr. Jack Cook Wilson, MD
Family Medicine Physician in Mountain Home, Arkansas
NPI 1518941517

Jack Cook Wilson is a Family Medicine Physician based in Mountain Home, AR. Jack Cook Wilson practices in Mountain Home, AR and has the professional credentials of MD. The NPI Number for Jack Cook Wilson is 1518941517 and holds a License No. C3223 (Arkansas).

The current practice location address for Jack Cook Wilson is 612 E 9Th St, Mountain Home, AR and can be reached out via phone at 870-424-3652.

Location: 612 E 9Th St, Mountain Home, AR, 72653-2053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518941517
Provider Name
Jack Cook Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
612 E 9Th St, Mountain Home, AR, 72653-2053
Phone Number
870-424-3652
Fax Number
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55740 01 AR BLUE CROSS BLUE SHIELD ID
16022000000 01 AR QUALCHOICE PROVIDER ID #
institution
Provider Business Practice Location Address Details
Address
612 E 9Th St
City
Mountain Home
State
Arkansas
Zip
72653-4804
Phone Number
870-424-3652
Fax Number
person
Provider Business Mailing Address Details
Address
612 E 9Th St
City
Mountain Home
State
Arkansas
Zip
72653-4804
Phone Number
870-424-3652
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
C3223 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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