# JACK D DENVER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932533312
- **Authorized official:** DR. JACK D DENVER MD (OWNER)
- **Authorized official phone:** (205) 874-9663

## Contact information

- **Practice address:** 1500 SOUTHLAKE PARK, SUITE 150, HOOVER, AL 35244-3352
- **Practice address phone:** (205) 874-9663
- **Practice address fax:** (205) 874-9667
- **Mailing address:** 1500 SOUTHLAKE PARK, SUITE 150, HOOVER, AL 35244-3352
- **Mailing address phone:** (205) 874-9663
- **Mailing address fax:** (205) 874-9667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2013
- **Last updated:** 04/14/2014