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Organization

JACKSON ALLERGY & ASTHMA CLINIC P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN D JACKSON M.D. (PHYSICAN)
(501) 623-1311
Entity
Organization

Contact information

Practice address
151 HARMONY PARK CIRCLE, HOT SPRINGS, AR 71913-5417
(501) 623-1311
(501) 321-1214
Mailing address
151 HARMONY PARK CIRCLE, HOT SPRINGS, AR 71913-5417
(501) 623-1311
(501) 321-1214

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C8504
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187025002
AR
01
5J211
BCBS
AR
Enumeration date
01/04/2011
Last updated
05/20/2024
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