Jack T Dancer I, M.D.

NPI #1235212630 in Stillwater, Oklahoma

Provider Information

NPI Number: 1235212630
Entity Type: Individual
Name: Jack T Dancer I, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Oct 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1301 W 6TH AVE
Address 2: SUITE 105
City: Stillwater
State: Oklahoma
ZIP Code: 74074-4375
Phone: (405) 533-1074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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