person
Dr. Thomas T Jefferson, MD
General Practice Physician in Little Rock, Arkansas
NPI 1790891448

Thomas T Jefferson is a General Practice Physician based in Mena, AR. Thomas T Jefferson practices in Little Rock, AR and has the professional credentials of MD. The NPI Number for Thomas T Jefferson is 1790891448 and holds a License No. C4604 (Arkansas).

The current practice location address for Thomas T Jefferson is 1100 N University Ave Ste 200, Little Rock, AR and can be reached out via phone at 888-710-8220 and via fax at 866-573-0761.

Location: 1100 N University Ave Ste 200, Little Rock, AR, 71953-1841
person
Provider Profile Details
NPI Number
1790891448
Provider Name
Thomas T Jefferson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 N University Ave Ste 200, Little Rock, AR, 71953-1841
Phone Number
888-710-8220
Fax Number
866-573-0761
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104422001 05 AR
institution
Provider Business Practice Location Address Details
Address
1100 N University Ave Ste 200
City
State
Zip
72207-6360
Phone Number
888-710-8220
Fax Number
866-573-0761
person
Provider Business Mailing Address Details
Address
1100 N University Ave Ste 200
City
State
Zip
72207-6360
Phone Number
888-710-8220
Fax Number
866-573-0761
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
C4604 (Arkansas)
Definition
Definition to come...
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