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Individual

DR. JIMMY DARRELL BONNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
630 W COURT ST, PARAGOULD, AR 72450-4247
(870) 236-8561
(870) 236-9428
Mailing address
630 W COURT ST, PARAGOULD, AR 72450-4247
(870) 236-8561
(870) 236-9428

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C4914
AR
207Q00000X
Family Medicine Physician
C4914
AR

Other

Enumeration date
03/17/2006
Last updated
07/16/2007
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