Jack Havdala is a Vascular Surgery in Jonesboro, Arkansas. Jack Havdala practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jack Havdala is 1477558955. The last update date is 2023-03-07.
Jack Havdala's current location address is 201 E Oak Ave, Jonesboro, Arkansas. You can contact this provider via phone number 8709356729 and fax number 8702684408. The mailing address for Jack Havdala is 201 E Oak Ave, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Havdala |
|---|---|
| Address | 201 E Oak Ave, Jonesboro, Arkansas |
| Phone Number | 8709356729 |
| Fax Number | 8702684408 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477558955 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 201 E Oak Ave |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724010 |
| Phone Number | 8709356729 |
| Fax Number | 8702684408 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | E3961 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| E3961 | AR | STATE LICENSE | |
| 32638100 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Havdala by the Centers for Medicare & Medicaid Services?
The Jack Havdala has been issued the NPI (National Provider Identifier) 1477558955, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jack Havdala is geographically located?
The Jack Havdala is physically situated at the following location: 201 E Oak Ave, Jonesboro, AR, 724010.
What is Jack Havdala's area of expertise and its corresponding taxonomy classification?
The Jack Havdala's field of specialization is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their areas of practice.
When was the Jack Havdala's 1477558955 issued?
The Jack Havdala's 1477558955 was issued on 2005-06-20.
When was the information regarding Jack Havdala most recently updated?
The details pertaining to the Jack Havdala, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.