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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY LEWIS

Active Sole Proprietor

JERRY LEWIS is a Podiatric Surgery healthcare provider located in CLARKSVILLE, Arkansas. NPI 1194376178 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · CLARKSVILLE, AR

Registration Details

NPI Number
1194376178
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2019 (6.8963331519306 yrs)
Last Updated
Nov 5, 2019
Sole Proprietor
Yes

Practice Information

Address
1606R W CHERRY ST
CLARKSVILLE, AR, 728302506
Browse AR providers · Browse ZIP 72830
Phone
4799794909
Primary Specialty
Podiatric Surgery
3747A0650X
Additional Specialty
Podiatric Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.