JACK COOK WILSON

MOUNTAIN HOME, AR
NPI1518941517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AR  C3223)
Enumeration Date2005-12-02
Last Update Date2007-07-09
Business Address
Dr. JACK COOK WILSON M.D.
612 E 9TH ST
MOUNTAIN HOME, AR 72653-4804
Phone number: 870-424-3652
Mailing Address
Dr. JACK COOK WILSON M.D.
924 CAPITOL DR
MOUNTAIN HOME, AR 72653-2053
Phone number: 870-424-3652
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