Individual
ROBERT C. JAGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3276 N. NORTH HILLS BLVD., FAYETTEVILLE, AR 72703
(479) 587-1114
(479) 587-1119
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3835
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114669001
—
AR
Enumeration date
09/23/2005
Last updated
03/09/2018
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