JOB JACOB MD PLLC
Osteopathic Medicine at Ada Ave, Conway, AR

License number
Arkansas MC-2479
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. JOB JACOB M.D.,
Title: OWNER
Phone: (501) 513-2628
Address
Address
2200 Ada Ave SUITE 203, Conway, AR 72034
National Provider ID: 1124152236
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOB JACOB, M.D., PLLC

2200 Ada Ave SUITE 201, Conway, AR 72034

Industry:
Medical Doctor's Office, Internist
Doing business as:
Job Jacob, MD Pllc<br>Job Jacob MD
Registration:
Jan 1, 2006
Phone:
(501) 932-0282 (Phone)
State ID:
800074282
Business type:
Limited Liability Company
Incorporator/Organizer, Medical Doctor, Owner, Principals:
R. Larry Tucker (Tax Preparer),Job Jacob Incorporator/Organizer, Medical Doctor, Owner, Principal, inactive
Agent:
Job Jacob, M.d,2200 Ada Ave SUITE 201, Conway, AR 72034 (Physical)
Filled under act:
Domestic LLC; 1003 of 1993

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