Individual
JACK A GRIEBEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 EXCHANGE AVE, CONWAY, AR 72032-7824
(501) 585-2000
Mailing address
9601 BAPTIST HEALTH DRIVE, MED TOWERS 1, SUITE 900, LITTLE ROCK, AR 72205
(501) 224-1135
(501) 224-1253
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C6414
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110817001
—
AR
Enumeration date
06/28/2006
Last updated
07/19/2019
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