TIMOTHY JACKS

MESA, AZ
NPI1164686549
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: AZ  R70095)
Enumeration Date2008-07-15
Last Update Date2013-05-17
Business Address
-- TIMOTHY JACKS D.O.
4540 E BASELINE RD SUITE 108
MESA, AZ 85206-4613
Phone number: 480-892-3880
Mailing Address
-- TIMOTHY JACKS D.O.
4540 E BASELINE RD SUITE 108
MESA, AZ 85206-4613
Phone number: 480-892-3880
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