Timothy Jacks, D.O.

NPI #1164686549 in Mesa, Arizona

Provider Information

NPI Number: 1164686549
Entity Type: Individual
Name: Timothy Jacks, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Jul 15, 2008
Last Updated: May 17, 2013

Practice Location

Address: 4540 E BASELINE RD
Address 2: SUITE 108
City: Mesa
State: Arizona
ZIP Code: 85206-4613
Phone: (480) 892-3880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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