Search › Arkansas › 152W00000X
Jerry Park, OP
NPI 1235254095 · on the registry since 2007
Practice
- Address
- 291 North First Street
Jacksonville, AR 72076 - Phone
- (501) 982-1100
- Fax
- (501) 982-0323
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas