Individual
JACK ANDREW COLEMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101-3 N. PROGRESS AVE., SILOAM SPRINGS, AR 72761-4343
(479) 549-4055
(479) 549-4059
Mailing address
1101-3 N. PROGRESS AVE., SILOAM SPRINGS, AR 72761-4343
(479) 549-4055
(479) 549-4059
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD16783
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3017988
—
TN
Enumeration date
10/17/2005
Last updated
05/20/2013
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