Individual
DR. JACK ZEPEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1301 S E ST, FORT SMITH, AR 72901-4716
(479) 785-2431
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-8100
(850) 863-8548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018036941
MO
207Q00000X
Family Medicine Physician
Primary
E-13916
AR
Other
Enumeration date
11/03/2018
Last updated
05/17/2022
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