Individual
DR. JACK MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-8507
Mailing address
801 E 2ND AVE APT 607, CORALVILLE, IA 52241-2249
(201) 421-8363
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
R-12624
IA
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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