Individual
JACK CAMERON FALCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 WERNER ST, HOT SPRINGS, AR 71913
(501) 622-1042
(501) 622-1199
Mailing address
P O BOX 29001, HOT SPRINGS, AR 71903-9001
(501) 622-1043
(501) 622-1199
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD26470
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247350
—
OR
05
—
8508871
—
OR
Enumeration date
06/23/2006
Last updated
06/10/2009
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