NPI 1093735110
David Jacks, MD
Practice location
- Address
- 4303 S Mulberry St, Pine Bluff, AR 71603-7017
- Phone
- (870) 535-4221
- Fax
- (870) 535-4228
Registered specialties
Urology Physician
Primary
Registry record
- NPI
- 1093735110
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Jul 2006
- Record last updated
- 5 Apr 2022
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.