Individual
ANDREW MIROCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 207-4100
Mailing address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 207-4100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301115689
MI
207P00000X
Emergency Medicine Physician
58430
KY
Other
Enumeration date
06/15/2018
Last updated
04/11/2024
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