David Jacks is a Urology in Pine Bluff, Arkansas. David Jacks practices all healthcare services and medical treatments related to Urology. The NPI Number for David Jacks is 1093735110. The last update date is 2022-04-05.
David Jacks's current location address is 4303 S Mulberry St, Pine Bluff, Arkansas. You can contact this provider via phone number 8705354221 and fax number 8705354228. The mailing address for David Jacks is 4303 S Mulberry St, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Jacks |
|---|---|
| Address | 4303 S Mulberry St, Pine Bluff, Arkansas |
| Phone Number | 8705354221 |
| Fax Number | 8705354228 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093735110 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2022-04-05 |
Provider Mailing Address Detail
| Address | 4303 S Mulberry St |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716037017 |
| Phone Number | 8705354221 |
| Fax Number | 8705354228 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | C5066 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10493001 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to David Jacks by the Centers for Medicare & Medicaid Services?
The David Jacks has been issued the NPI (National Provider Identifier) 1093735110. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David Jacks is physically located?
The David Jacks is situated at the following address: 4303 S Mulberry St, Pine Bluff, AR 716037017.
What is David Jacks's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for David Jacks is Urology, and the corresponding taxonomy classification code for this specialized field is 208800000X.
When was the David Jacks's 1093735110 issued?
The David Jacks's 1093735110 was issued on 2006-07-20.
When was the information pertaining to David Jacks most recently updated or revised?
The details related to David Jacks, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-05.