Jack D Anderson, DO

NPI #1245527969 in Tompkinsville, Kentucky

Provider Information

NPI Number: 1245527969
Entity Type: Individual
Name: Jack D Anderson, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jul 1, 2011
Last Updated: Jun 10, 2014

Practice Location

Address: 1515 EDMONTON RD
City: Tompkinsville
State: Kentucky
ZIP Code: 42167-9402
Phone: (270) 487-9272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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