DR. Jerry B Park, OP

NPI #1235254095 in Jacksonville, Arkansas

Provider Information

NPI Number: 1235254095
Entity Type: Individual
Name: DR. Jerry B Park, OP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OP
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 291 NORTH FIRST STREET
City: Jacksonville
State: Arkansas
ZIP Code: 72076
Phone: (501) 982-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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