Monte Douglas, PA-C

NPI #1154736262 in Jacksonville, Arkansas

Provider Information

NPI Number: 1154736262
Entity Type: Individual
Name: Monte Douglas, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 26, 2014
Last Updated: Apr 15, 2019

Practice Location

Address: 1400 BRADEN ST
City: Jacksonville
State: Arkansas
ZIP Code: 72076-3721
Phone: (501) 241-1676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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