Provider Demographics
NPI:1396717732
Name:JONES, EUGENE M (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:M
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3343 SPRINGHILL
Mailing Address - Street 2:SUITE 1035
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117
Mailing Address - Country:US
Mailing Address - Phone:501-975-7676
Mailing Address - Fax:501-537-0206
Practice Address - Street 1:3343 SPRINGHILL
Practice Address - Street 2:SUITE 1035
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117
Practice Address - Country:US
Practice Address - Phone:501-975-7676
Practice Address - Fax:501-537-0206
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC4946207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR52712Medicare ID - Type Unspecified
C68592Medicare UPIN