DR. Jack Ronald Tacker, M.D.

NPI #1336379403 in Poulsbo, Washington

Provider Information

NPI Number
1336379403
Entity Type
Individual
Name
DR. Jack Ronald Tacker, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
General Practice
Credential
M.D.
Enumeration Date
Jul 22, 2009
Last Updated
Jun 5, 2013

Practice Location

Address
19160 FRONT ST NE
ZIP Code
98370
Phone
(360) 779-7500

Specialties & Taxonomy Codes

Specialty
General Practice

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