| Doctors Testing Center Llc Ii | |
|
2227 West Main St Jacksonville AR 72076 | |
| (501) 985-9944 | |
| (501) 985-6590 |
| Full Name | Doctors Testing Center Llc Ii |
|---|---|
| Speciality | Otolaryngology |
| Location | 2227 West Main St, Jacksonville, Arkansas |
| Authorized Official Name and Position | Ronald F Davis (TEC PARTNER) |
| Authorized Official Contact | 5019859944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Testing Center Llc Ii 2227 West Main St Jacksonville AR 72076 Ph: (501) 985-9944 | Doctors Testing Center Llc Ii 2227 West Main St Jacksonville AR 72076 Ph: (501) 985-9944 |
| NPI Number | 1003986118 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003986118 | NPI | - | NPPES |
| 5C724 | Other | AR | MEDI CARE IDTF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
| 247200000X | Technician, Other | (* (Not Available)) | Secondary |
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