Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 39144 | IA |
Y | 207V00000X | Obstetrician & Gynecologist | E-10481 | AR |
N | 207V00000X | Obstetrician & Gynecologist | G8876 | TX |
NPI | 1003843582 |
---|---|
Provider Name | Dr. David G Jaskey |
First Address | Little Rock, AR 72211-4393 |
Second Address | Arkadelphia, AR 71923-4243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 01/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003843582 | (05) | IA |
3479073-02 | (05) | TX |
C50669 | (02) |