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Individual

DR. PHILIP DEREK JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1307 S PINE ST, CABOT, AR 72023-3811
(501) 843-2222
(501) 843-2277
Mailing address
1307 S PINE ST, CABOT, AR 72023-3811
(501) 843-2222
(501) 843-2277

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15620
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148748718
AR
01
5X121C705
MEDICARE OTHER
AR
Enumeration date
08/08/2006
Last updated
02/07/2023
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