David B Jack MD PC

NPI #1760528137 in Draper, Utah

Provider Information

NPI Number: 1760528137
Entity Type: Organization
Organization Name: David B Jack MD PC
Primary Specialty: Family Medicine
Enumeration Date: Jan 30, 2007
Last Updated: Jul 6, 2009

Practice Location

Address: 11760 S 700 E STE 111
City: Draper
State: Utah
ZIP Code: 84020-6605
Phone: (801) 576-8855

Authorized Official

Name: DAVID B JACK, MD
Title: PRESIDENT
Phone: (801) 576-8855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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