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1710997036
JERRY S DORMAN
SPRINGDALE, AR
NPI
1710997036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AR F2067)
Enumeration Date
2006-08-09
Last Update Date
2010-08-10
Business Address
JERRY S DORMAN M.D.
724 DEAVER ST
SPRINGDALE, AR 72764-5356
Phone number: 479-751-3202
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Mailing Address
JERRY S DORMAN M.D.
724 DEAVER ST
SPRINGDALE, AR 72764-5356
Phone number: 479-751-3202
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