Individual
DR. JACK NATHAN HUTTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(571) 231-2889
Mailing address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(571) 231-2889
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
27637
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2012
Last updated
12/23/2021
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