Mr Jorge F Jimenez, MD | |
1430 West C, Russellville, AR 72801 | |
(479) 968-6781 | |
(479) 968-3074 |
Full Name | Mr Jorge F Jimenez |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1430 West C, Russellville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912969858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | R2662 (Arkansas) | Primary |
Entity Name | Pathology Services Laboratory Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831158369 PECOS PAC ID: 0840373411 Enrollment ID: O20080228000782 |
Mailing Address | Practice Location Address |
---|---|
Mr Jorge F Jimenez, MD Po Box 925, Russellville, AR 72811 Ph: (479) 968-6781 | Mr Jorge F Jimenez, MD 1430 West C, Russellville, AR 72801 Ph: (479) 968-6781 |
Dr. Christina A Jetton, MD Pathology Medicare: Medicare Enrolled Practice Location: 1430 W C St, Russellville, AR 72801 Phone: 479-968-6781 Fax: 479-968-3074 | |
Vernon Anthony Harden, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1430 West C Street, Russellville, AR 72801 Phone: 479-968-6781 Fax: 479-968-3074 | |
Gerald A Stolz Jr., MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1430 West C Street, Russellville, AR 72801 Phone: 479-968-6781 Fax: 479-968-3074 | |
Dr. Laura Marie Lowther, MD Pathology Medicare: Medicare Enrolled Practice Location: 1430 West C Street, Russellville, AR 72801 Phone: 479-968-6781 Fax: 479-968-3074 | |
Dr. James L Babcock, MD Pathology Medicare: Medicare Enrolled Practice Location: 1430 W C St, Russellville, AR 72801 Phone: 479-968-6781 |