Individual
MR. DAVID STUART JENCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 BESTGATE RD STE 2A, ANNAPOLIS, MD 21401
(410) 224-2116
(410) 224-2118
Mailing address
300 PASTEUR DR, GRANT S101, STANFORD, CA 94305-2200
(650) 498-4560
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0084992
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2011
Last updated
07/23/2018
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