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Individual

DR. TERRY J KOSINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
333 STADIUM BLVD, JONESBORO, AR 72401
(870) 932-3339
(870) 933-1824
Mailing address
PO BOX 1331, JONESBORO, AR 72403-1331
(870) 932-3339
(870) 933-1824

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3705
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03090023800
QUALCHOICE
AR
01
P00042712
RAILROAD MEDICARE
AR
Enumeration date
04/10/2006
Last updated
07/13/2007
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