Organization
PHYSICIANS NETWORK INC.
Active
Other names
PNI dba JACKSONVILLE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN DALE CALHOON M.D. (MEDICAL DIRECTOR)
(501) 985-5900
Entity
Organization
Contact information
Practice address
1300 BRADEN ST, JACKSONVILLE, AR 72076-3719
(501) 985-5900
(501) 985-6016
Mailing address
PO BOX 309, JACKSONVILLE, AR 72078-0309
(501) 985-5900
(501) 985-6016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AR
207R00000X
Internal Medicine Physician
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142734002
—
AR
Enumeration date
06/20/2005
Last updated
07/21/2022
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