Individual
BRIAN CAMPBELL JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1609 W 40TH AVE STE 205, PINE BLUFF, AR 71603-6367
(870) 541-3230
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(870) 541-7211
(870) 541-4297
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E-13992
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2014
Last updated
06/04/2021
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