Individual
MR. DOMINIC AMADEO JACOBELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S 52ND ST, ROGERS, AR 72758
(479) 271-9607
Mailing address
1000 S 52ND ST, ROGERS, AR 72758-8610
(479) 271-9607
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E-11530
AR
Other
Enumeration date
08/26/2011
Last updated
08/08/2018
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