David C Jacks MD PA

NPI #1083882633 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1083882633
Entity Type: Organization
Organization Name: David C Jacks MD PA
Primary Specialty: Specialist
Enumeration Date: Feb 18, 2008
Last Updated: Nov 15, 2013

Practice Location

Address: 4303 S MULBERRY ST
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-7017
Phone: (870) 535-4221

Authorized Official

Name: MRS. JUDY FRIZIELLE, LPN
Title: BILLING MANAGER/ NURSE
Phone: (870) 535-4221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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