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Individual

DR. JEFFERYDON LEE COON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D. O.

Contact information

Practice address
2801 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9436
(870) 892-6000
Mailing address
2801 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9436
(870) 892-6000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-9674
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E-9674
ARKANSAS MEDICAL LICENSE
AR
01
PD09494
ARKANSAS PHARMACIST LICENSE
AR
Enumeration date
04/27/2011
Last updated
03/07/2017
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