Individual
MR. BRIAN D JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 HARMONY PARK CIRCLE, HOT SPRINGS, AR 71913
(501) 623-1311
(501) 321-1214
Mailing address
151 HARMONY PARK CIRCLE, HOT SPRINGS, AR 71913
(501) 623-1311
(501) 321-1214
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
C8504
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123996001
—
AR
Enumeration date
06/17/2006
Last updated
05/20/2024
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