NPI 1013909316

Dennis W Jacks, MD

Practitioner Urology Physician Pine Bluff, AR

Practice location

Address: 1609 W 40th Ave STE 301, Pine Bluff, AR 71603-6329
Phone: (870) 536-5162
Fax: (870) 536-5198

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence C5724 (AR)

Other Urology providers in Arkansas →

Registry record

NPI: 1013909316
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2005
Record last updated: 3 Nov 2016

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.