Individual
DR. PHILIP PAUL PACK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
415 ALLEN ST, BATESVILLE, AR 72501-6958
(870) 307-3790
Mailing address
925 DENNISON HTS, SOUTHSIDE, AR 72501-8943
(786) 519-9572
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
02007472A
IN
208600000X
Surgery Physician
Primary
E10076
AR
208600000X
Surgery Physician
OS14245
FL
208600000X
Surgery Physician
UO3383
FL
Other
Enumeration date
07/11/2011
Last updated
07/12/2025
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