| Doctor Name: | MERTEN H JABBEN |
| NPI Number: | 1568549590 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | E-2639 |
| Business Practice Address: | 210 S Pulaski St Little Rock, AR - 722011926 |
| Business Phone Number: | 5012406251 |
| Business Fax Number: | |
| Mailing Address: | 12621 Valleywood Dr, LITTLE ROCK |
| State: | AR |
| Postal Code: | 722113352 |
| Phone Number: | 5012253632 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E-2639 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |