Individual
DR. JERRY B PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OP
Contact information
Practice address
291 NORTH FIRST STREET, JACKSONVILLE, AR 72076
(501) 982-1100
(501) 982-0323
Mailing address
291 NORTH FIRST STREET, JACKSONVILLE, AR 72076
(501) 982-1100
(501) 982-0323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP1100081
AR
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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