Individual
HUGH H JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3409 ELM SPRINGS RD, SPRINGDALE, AR 72762-2754
(479) 927-2100
(479) 927-2211
Mailing address
3409 ELM SPRINGS RD, SPRINGDALE, AR 72762-2754
(479) 927-2100
(479) 927-2211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-1422
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100156270A
—
OK
05
—
132080001
—
AR
Enumeration date
10/06/2005
Last updated
09/08/2009
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