JACOB LEE DICKINSON

MOUNTAIN HOME, AR
NPI1396866364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: AR  E-5452)
Additional Taxonomies2086S0129X 
(Licence: AR  E-5452)
Enumeration Date2007-04-03
Last Update Date2013-08-27
Business Address
-- JACOB LEE DICKINSON MD
901 BURNETT DR
MOUNTAIN HOME, AR 72653-2908
Phone number: 870-425-9120
Mailing Address
-- JACOB LEE DICKINSON MD
901 BURNETT DR
MOUNTAIN HOME, AR 72653-2908
Phone number: 870-425-9120
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