Individual
DR. JERRY L HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15361 HIGHWAY 5, SUITE E, CABOT, AR 72023-5128
(501) 605-9355
Mailing address
15361 HIGHWAY 5, SUITE E, CABOT, AR 72023-5128
(501) 605-9355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
EO182
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125608003
—
AR
Enumeration date
05/04/2006
Last updated
06/04/2009
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