Individual
JOHN T JACCARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00031446
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8246266
—
WA
Enumeration date
06/17/2005
Last updated
07/26/2011
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