NPI 1255659082

Charles Mark Jackson, MD

Practitioner Urology Physician Fayetteville, AR

Practice location

Address: 3 E Appleby Rd STE 201, Fayetteville, AR 72703-3158
Phone: (479) 404-1100
Fax: (479) 404-1101

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence E-9270 (AR)

Other Urology providers in Arkansas →

Registry record

NPI: 1255659082
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2010
Record last updated: 19 Jun 2023

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.