Individual
DR. JACK E ROETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-6000
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
334206
NC
208D00000X
General Practice Physician
Primary
35759
NE
Other
Enumeration date
07/06/2020
Last updated
07/05/2026
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