J. W NUCKOLLS MD

PINE BLUFF, AR
NPI1750345575
Entity TypeOrganization
Authorized ContactJ. W NUCKOLLS
Owner
870-541-0222
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: AR  R2177)
Enumeration Date2006-04-17
Last Update Date2007-10-26
Business Address
J. W NUCKOLLS MD
1801 W 40TH AVE SUITE 1C
PINE BLUFF, AR 71603-6956
Phone number: 870-541-0222
Mailing Address
J. W NUCKOLLS MD
1801 WEST 40TH SUITE 1-C
PINE BLUFF, AR 71603-6956
Phone number: 870-541-0222
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