Search › Arkansas › 207Q00000X
Jack Wilson, M.D
NPI 1518941517 · on the registry since 2005
Practice
- Address
- 612 E 9th St
Mountain Home, AR 72653 - Phone
- (870) 424-3652
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
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