Individual
JABBAR JOSHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(501) 985-7000
(501) 985-7326
Mailing address
609 INNSBROOKE CV, JACKSONVILLE, AR 72076-3680
(501) 903-4623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-5064
AR
207Q00000X
Family Medicine Physician
Primary
E-5064
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166985001
—
AR
Enumeration date
03/16/2007
Last updated
12/22/2020
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