James Andrew Jack, IDMT
NPI #1104060607 in Hurlburt Field, Florida
Provider Information
- NPI Number
- 1104060607
- Entity Type
- Individual
- Name
- James Andrew Jack, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Apr 28, 2009
- Last Updated
- Jan 6, 2012
Practice Location
- Address
- 113 LIELMANIS AVE
- City
- Hurlburt Field
- State
- Florida
- ZIP Code
- 32544-5604
- Phone
- (850) 881-2337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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