Buck Jack LLC
NPI #1558975029 in Fountain, Colorado
Provider Information
- NPI Number
- 1558975029
- Entity Type
- Organization
- Organization Name
- Buck Jack LLC
- Primary Specialty
- Psychologist
- Enumeration Date
- Sep 2, 2020
- Last Updated
- Sep 2, 2020
Practice Location
Authorized Official
- Name
- WILLIAM COLT
- Title
- PRESIDENT
- Phone
- (713) 410-6889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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