Individual
JOHN D PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4301 W MARKHAM ST # 523, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-6780
Mailing address
4301 W MARKHAM ST # 523, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-6780
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E-6864
AR
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
E-6864
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186865003
—
AR
Enumeration date
05/23/2007
Last updated
08/21/2017
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