Individual
MR. JORGE F JIMENEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 WEST C, RUSSELLVILLE, AR 72801
(479) 968-6781
(479) 968-3074
Mailing address
PO BOX 925, RUSSELLVILLE, AR 72811
(479) 968-6781
(479) 968-3074
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R2662
AR
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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