Individual
DR. JACK JAY STERNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N UNIVERSITY AVE, LITTLE ROCK, AR 72207-6347
(501) 661-0060
(501) 661-1233
Mailing address
1000 N UNIVERSITY AVE, LITTLE ROCK, AR 72207-6347
(501) 661-0060
(501) 661-1233
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
C5323
AR
174400000X
Specialist
Primary
C5323
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104618001
—
AR
01
—
C5323
LICENSE NUMBER
AR
Enumeration date
06/24/2005
Last updated
06/27/2017
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