Organization
JTD MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK KAMERER (ADMINISTRATOR)
(479) 408-4466
Entity
Organization
Contact information
Practice address
1794 E JOYCE BLVD STE 3, FAYETTEVILLE, AR 72703-5257
(479) 234-4499
(479) 269-1325
Mailing address
1794 E JOYCE BLVD STE 3, FAYETTEVILLE, AR 72703-5257
(479) 234-4499
(479) 269-1325
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
11/11/2021
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