NPI 1124152236

Job Jacob MD PLLC

Organisation Gastroenterology Physician Conway, AR

Practice location

Address: 965 Carson Cv STE a, Conway, AR 72034
Phone: (501) 513-2628
Fax: (501) 513-2630
Mailing address: PO Box 10585, Conway, AR 72034-0009

Authorised official

Name: Job Jacob
Title: Owner
Phone: (501) 513-2628

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence MC-2479 (AR)

Other Internal Medicine providers in Arkansas →

Registry record

NPI: 1124152236
Entity type: Organization
NPI issued: 14 Mar 2007
Record last updated: 1 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.