DAVID B JACK

DRAPER, UT
NPI1255434296
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QB0002X Family Medicine, Bariatric Medicine
(Licence: UT  168941-1205)
Enumeration Date2006-09-06
Last Update Date2022-02-01
Business Address
Mr. DAVID B JACK MD
74 E KIMBALLS LN STE 260
DRAPER, UT 84020-5009
Phone number: 801-545-8480
Mailing Address
Mr. DAVID B JACK MD
PO BOX 198560
ATLANTA, GA 30384-1721
Phone number:
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