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Organization
PHYSICIANS NETWORK INC.
Active
Organization
PHYSICIANS NETWORK INC.
Active
Other names
PNI dba JACKSONVILLE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN DALE CALHOON M.D. (MEDICAL DIRECTOR)
(501) 985-5900
Entity
Organization
Contact information
Practice address
1300 BRADEN ST, JACKSONVILLE, AR 72076-3719
(501) 985-5900
(501) 985-6016
Mailing address
PO BOX 309, JACKSONVILLE, AR 72078-0309
(501) 985-5900
(501) 985-6016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AR
207R00000X
Internal Medicine Physician
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142734002
—
AR
Enumeration date
06/20/2005
Last updated
07/21/2022
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