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Individual

MR. JAMES WILLIAM TAKACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14519 WIMBLEDON LOOP, LITTLE ROCK, AR 72210
(501) 772-7339
Mailing address
14519 WIMBLEDON LOOP, LITTLE ROCK, AR 72210
(501) 772-7339

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45153
FL
207Q00000X
Family Medicine Physician
Primary
E-5085
AR

Other

Enumeration date
10/20/2014
Last updated
10/20/2014
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