Individual
DR. JACK F DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5102 W CAMPBELL AVE, EMERGENCY DEPARTMENT, PHOENIX, AZ 85031-1703
(602) 420-4430
Mailing address
5102 W CAMPBELL AVE, EMERGENCY DEPARTMENT, PHOENIX, AZ 85031-1703
(602) 420-4430
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2994
AZ
Other
Enumeration date
06/29/2006
Last updated
07/26/2007
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