NPI 1124152236 · live from the CMS NPI Registry
Job Jacob MD PLLC
Internal Medicine, Gastroenterology in Conway, AR. National Provider Identifier 1124152236, active.
NPI record
| NPI | 1124152236 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 965 Carson Cv Ste A, Conway, AR 72034 |
| Practice phone | 501-513-2628 |
| Mailing address | Po Box 10585, Conway, AR 72034 |
| Enumerated | March 14, 2007 |
| Last updated | August 1, 2018 |
| Authorized official | Job Jacob, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | MC-2479 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.