Organization
WILLIAM P JACKS MD CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM P JACKS MD (PRESIDENT)
(702) 649-9070
Entity
Organization
Contact information
Practice address
2031 MCDANIEL ST STE 250, N LAS VEGAS, NV 89030-6309
(702) 649-9070
(702) 649-9080
Mailing address
2031 MCDANIEL ST STE 250, N LAS VEGAS, NV 89030-6309
(702) 649-9070
(702) 649-9080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
03/02/2018
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