IndividualActive
Jack Havdala, M.D.
NPI 1477558955 · Vascular Surgery Physician · Jonesboro, AR
Provider details
- NPI number
- 1477558955
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- E3961 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
201 E Oak Ave
Jonesboro, AR 72401
Phone: (870) 935-6729
Fax: (870) 268-4408
Approximate (ZIP-level) locationGet directions
Mailing address
201 E Oak Ave
Jonesboro, AR 72401
Registry dates
- Enumerated
- 2005-06-20
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.