Jerry S Dorman is a Surgery in Springdale, Arkansas. Jerry S Dorman practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jerry S Dorman is 1710997036. The last update date is 2010-08-10.
Jerry S Dorman's current location address is 724 Deaver St, Springdale, Arkansas. You can contact this provider via phone number 4797513202 and fax number 4797562721. The mailing address for Jerry S Dorman is 724 Deaver St, Springdale, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry S Dorman |
|---|---|
| Address | 724 Deaver St, Springdale, Arkansas |
| Phone Number | 4797513202 |
| Fax Number | 4797562721 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710997036 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2010-08-10 |
Provider Mailing Address Detail
| Address | 724 Deaver St |
|---|---|
| City | Springdale |
| State | Arkansas (AR) |
| Post Code | 727645356 |
| Phone Number | 4797513202 |
| Fax Number | 4797562721 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | F2067 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 106239001 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry S Dorman by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry S Dorman has been assigned the NPI (National Provider Identifier) 1710997036. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jerry S Dorman?
The Jerry S Dorman is situated at 724 Deaver St, in the city of Springdale, state of AR, with the zip code 727645356.
What is Jerry S Dorman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry S Dorman is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Jerry S Dorman receive its 1710997036 assignment from the Centers for Medicare & Medicaid Services?
The Jerry S Dorman was assigned its 1710997036 by the Centers for Medicare & Medicaid Services on 2006-08-09.
As of what date were the details pertaining to Jerry S Dorman last refreshed?
The information related to the Jerry S Dorman, including its address, specialty, and other relevant details, was last updated on 2010-08-10.