NPI

Jerry Coborn

NPI 1932495322

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
Recovery Assistant
Type
Individual
Enumeration date
2011-06-23
Last updated
2011-06-23

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Specialties

Licenses

License AR
Number not in the file

Location

Practice location
44 Martin Ln
City
Ash Flat AR
Postal code
72513-9749
Phone
(870) 994-2848

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Ash Flat, AR. 251 records in the public file.

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