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NPI Verification

National Provider Identifier: 1093735110

David Jacks, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

4303 S MULBERRY ST

PINE BLUFF, AR 716037017

Phone: 870-535-4221

NPI Enumeration Date

July 20, 2006

NPI Number

1093735110

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
David Jacks, M.d. - NPI 1093735110 | Provider Verification | HormoneMap